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Waste Tire Si ey & Inspection Rep, SURVEY REQUIRED <br /> ..... <br /> _�_• ' State of California <br /> CIWMB 783 (New 04104) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: < `, / C / Report I / — 1 / (� U 4 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a� G, <br /> 4011 _- 2 `lam/ AWA A2 - <br /> ZC <br /> -- Tl'rJYr� �j'/�/C� ����r'S 7�1�t!«2f �i2�n�itZ`�-pJ •2�' Qt' ��C� <br /> oor <br /> CJ�j'fi`rS � i/ZS d1/lC �C.U�C.�LLLQi.�c.P/ �.C�Ll�1L1C/L�'Ct�Od�+ <br /> 42408 <br /> JE XIAMIPME1 111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA won <br />