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°_ Wastes Tire S, ✓ey & Inspection Rer t SURVEY REQUIR D <br /> ygm Uwe <br /> 183 (New 04/04) Comments Form l <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ` (, 3 - e Report = - <br /> ` v Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 24 I�c�r�S•- l . �� n �`� 4A <br /> E4 l m,ru s <br /> NU1A Z� �, U rL a ill0 1 j- 41tZAA �O t� <br /> b, to <br /> 1A 10476N <br /> 42408 <br /> E X1 A MI P L I El I I Z :3 F:010 " <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />