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__ Waste Tire S ✓ey & Inspection Rer t SURVEY REQUIRED <br /> ■••'�: State of California <br /> CIWM- (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> Inspection _Site Suffix: 10 q 9 — � Report I <br /> q � L Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �1 E7 V i t- C';T1'tYl S n.r O �o>n.L C✓r► <br /> A C77- <br /> 4-,XK-l(l <br /> �`\.b.S 7--L. <�•l t, '"L-, C, t \Wi , 7/,fJ 1't: --1 11W S C�,\6 —C/ rVI <br /> 0L- G%J v-P rr O c 1�Q '' P✓`�G� <br /> 6. l7- Ae, <br /> �i\�,t-, ,7 i 6J A t4-1.l Yl,►lM,�n,- �� <br /> JE XIA MIDI �IEI I112131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />