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:_„ Waste fire S. e,/ & Inspection Re I <br /> State of Cal <br /> - - --- <br /> � I� SURVEY REQUIRED <br /> CIWMB 831t(New 04/04) Comments Form <br /> California Integrated Waste Management Board __ _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> S01 O <br /> Site - ` � 2, C _ Report I ' 2 1z S <br /> Site Suffix: 1 / 7 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> cvLc) -lp__ <br /> C C <br /> A-It—,c T % <br /> `'�, \ was� �t'.re w+a.�►;l►�.-sk��; ;s t�asc�..� <br /> cP 5 <br /> 1EXIAMIPILIE1 111 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy.LEA <br />