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Waste Tire Vey & inspection Rej rt SURVEY REQUIRED <br /> State f Cali <br /> k2, CIWMB183f <br /> ornia <br /> (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection �q <br /> Site Suffix: 7 / 1 6 - 01 Report I — Z 3 6 Z 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - - <br /> JE <br /> G <br /> 42408 <br /> : ,� P t_ 1 f <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />