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J, . <br /> r _ Waste Tirevey & Inspection Re rt SURVEY REQUIRED <br /> �:o CIWMB 83'fornia <br /> (New04/04) 1101mments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: - Report - I <br /> Number: � � <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � � t <br /> ff <br /> 4 <br /> i <br /> 42408 <br /> JE XIA MIP, �IEI 1112131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />