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_ __,_a•Wastea Tire St, ey & Inspection Rept i SURVEY REQUIRED <br /> State of Californi <br /> Cl <br /> New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 5 S y 2 1 Z Q 1 Report I , — ` 2 I '� 2 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ZX .,Y. � <br /> JE XIA MJPJ �JEJ 111273 <br /> • `�;` � Sic-P�ct�� �,�a��. �c-eS c�� <br /> 42408 <br /> � r <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />