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Wastea Tire Wey & inspection Re 't SURVEY REQUIRED <br /> State of Californi <br /> CIWMI3183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: C7 Cj 1 © Report = q l p - v <br /> Number: l <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> — E: X A M R j L (: --1 '; � ,3 — -- — 42408 <br /> li ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />