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Waste Tire Survey & Inspection Repoit SURVEY REQUIRED <br /> State of California <br /> New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID Z_ Report L -5- 57 <br /> Site Suffix: Number: inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ju <br /> C-TL_ 5.a-(, <br /> L <br /> q <br /> Fa <br /> lop <br /> L/ <br /> EXIAMIPIL-W- J1j.?j3j 42408 <br /> ■ White Copy:C1WMB Yellow Copy:Operator Pink Copy:LEA <br />