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LIZWaste Tire S&ey & Inspection Rer is SURVEY REQUIRED <br /> CIWMB 831fornia <br /> (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Q ` inspection <br /> Site Suffix: 3 V 1 $ s 1 Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �J u n-nU--\ <br /> 1- 1 <br /> ,,h <br /> t,s (CA) <br /> k_\)Y tAJ - v13 curs <br /> 0\4-Ad <br /> cc-\I I r &-a 11� VQ-- S �n S��.1 <br /> �— – - <br /> t1l 1 <br /> 0,,-- (7\gn,) brty. <br /> IE XIA MIPI �IeI 1112131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />