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' ■ Waste Tire Survey & Inspection Report �� <br /> Stateof California � s�• '�"t" l"•- <br /> CIWMa183tNew04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: x� Report I <br /> V G� _ � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - — - <br /> - < <br /> I <br /> ■ eX AM PS42408� ■ <br /> ■ <br /> White Copy:CIWMB Yellow Copy.Operator -'i!ik Copy.LEA <br /> 0526306.0339 <br />