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..... Waste�'�e Surveyand Inspection Report <br /> city county <br /> ,,, P p Mailing Address <br /> State of California <br /> Phone Number <br /> CIWMB-54(10/03) '�11 <br /> PART D - Notes Page,2_1 of oC <br /> File Number: Inspection D t <br /> 2 Ll D <br /> Business/ F1 ity Name: GPS Coo ina s: <br /> �c tired s A4 <br /> 0(c a ll c / -es <br /> nk fires o 4 )� �o <br /> XA Al�_ CZ5 <br /> Follow-up: <br /> ❑ Letter of Violation ❑ Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signat Phone: a-09, X53 7 6?g <br /> ite Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />