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> a:. Waste Tire Survey & Inspection <br /> Report <br /> Stateofcalif.mia 3091, <br /> C.IMB <br /> 183(New 04/04) Comments Form <br /> C41%nds Integrated Waste Management Board BLUE OR BLACK INK PEN_ <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ` 3 �— ` Report <br /> Number. V c <br /> Inspection Number on the assockifed Survey form(Page 1) <br /> Comments <br /> - v►4,U A UL CO w((IA VV-VAPW5 W t <br /> wi�. �Dot.t^n tC' <br /> — - V\jo v t o\ <br /> 42408 <br /> ■ E§xa �, p 1. E i z s � ■ <br /> White Copy CIWMB Yellow Copy:Operator Pink Copy.LEA <br /> 0529206.0947 <br />