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M <br /> Waste Tire urvey & inspection ire SURVEY REQUIRED ■ <br /> kuNewState of California ®1r111rY1antS Forrrl 04104) BLUE OR BLACK INK PEN <br /> California Integrated Waste Management Board <br /> Business Profile - <br /> Tinspectio:n <br /> Details�rtion �TPID- � Sj10 �Site Suffix: r: <br /> Inspection Number on the associated Survey form(Pag 1) <br /> Comments -- - - <br /> S t <br /> �A <br /> 0 <br /> 0), G U YI d.Gl�& -A�C, <br /> �ttW�> <br /> 1 Sc,1� ark <br /> v � L UL•S '� r' <br /> - <br /> 14 <br /> - yGi <br /> 3 6k <br /> jjAA I I'-�, <br /> AM- <br /> 42408 <br /> EXAMPLE I <br /> ■ White Copy:CIWMB Yellow Copy:operator Pink Copy:LEA <br />