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:Waste Tire Srrey & Inspection Rei t ; SURVEY REQUIRED <br /> ■:_• State of California <br /> CIWMB 783 (New 04/04) <br /> Comments Form -_-- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ' 3 �; ( Report I — !� /� —Z -7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> YIOC/ r r K� iY1.S��r r�"n �G' Y✓l�I G�� &7- -*qCcs L� ��C- <br /> J � <br /> _.'ejo ' <br /> C�Z �� rte- r_11 P T�rn►yi.r�c 4t <br /> man <br /> r-- <br /> l � a <br /> 42408 <br /> e XIA rel PME 1 1 z .3 IIII <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />