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t S <br /> Waste Tire S, ley Inspection Rep I URVEY REQUIRED <br /> � <br /> �wMe 83California <br /> t(New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection /� <br /> Site Suffix: 1 / 1 3 0 Repo v <br /> _ ' Z 3 Z j <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ► 1� ,��C, T <br /> eL ";:.'V ;iAcLeA <br /> V oma,,. c�.�•_yt�ss�:�t���o�t-- l`�rnS��e � <br /> S e,�ea e. ..-cyS Sb <br /> w d� <br /> -bc 'c'eV%% <br /> IEXIAMIPILIEI 111273 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />