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L_Waste Tire SL ey & Inspection Rep <br />State of California <br />WiligzyCIWMB183 (New 04/04) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile Inspection Details <br />TPISite 2 <br />- ( ^ _ Inspection _ <br />Site Suffix: 1 L Report I � � <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />ew0i; Co.,n.0 . <br />:ce. , -, A xc- _0 s.) <br />�j e&S5 , <br />t <br />C. <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy,. LEA <br />42408 <br />