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Waste Tire Survey & Inspection Report ` ' <br /> Statc of California <br /> CIWMB 703(New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 /� Inspection I rn <br /> Site e Suffix: .J q 1 O Report <br /> Number: I O Q "` 0 <br /> Inspection Number on Um associated Survey form(Page t) <br /> Comments <br /> Note: i`aei lift petr ises is, owhe� 6v Kttn /�nCIe1'sv►-, <br /> a,n d 1 a,se-d f AA Ckn t-s. -M i s Fa,ci, <br /> i 5 l e a s ed b7_ t JILT C o o-s f <br /> Proowe i S ,r"pov,sI lr- <br /> a�l _ f s�0—sn1 zl-� Are_s P IeAA 0-t <br /> - ffa ree_ to c�f-i o n s Oil e✓-(-4 <br /> NW carne v <br /> sw nerhe,v- <br /> E si Cie yard O� IDLUilainq <br /> 42408 <br /> White Copy:CIWMB Yellow Copy Operator Pink Copy:LEA ■ <br /> 0529206.0074 <br />