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SURVEY Waste Tire Survey & Inspection Repil,,, t kkOUIRED' ■ <br /> State of California <br /> :New 04104) Comments Form BLUE OR BLACK INK PEN <br /> California Integrated Waste Management Board <br /> Inspection Details <br /> Business Profile <br /> n <br /> spection <br /> inspection 1 0 <br /> TPID- TReport <br /> Number:r. <br /> Site Suffix: Number: <br /> Inspection <br /> nspection Number on the associated Survey f0rm):(PageRj1) <br /> Comments <br /> "r <br /> - <br /> -fo �"l - <br /> tX e16VMSn <br /> Lk <br /> W 1A <br /> L)j <br /> 42408 <br /> ■ <br /> EXAMPLE I <br /> White Copy:ClWMB Yellow copy:operator Pink Copy:LEA <br />