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AWaste Tire SL ✓ey & Inspection Rep t SURVEY REQUIRED]State of ■ <br /> ornia <br /> ki New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ' `1 A C - Reportion I _ <br /> Site Suffix: "1 J b 1 Number: C_ JN ( 3 <br /> Nu <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -1J,r) R _51V <br /> t <br /> D.n <br /> Dvc <br /> T31 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />