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Loul_-_'_�-Waste Tire Survey & Inspection Report SURVEY REQUIRED , <br /> State of Cal831fornia <br /> (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> G� l� Inspection <br /> $ i Y 5 ® Report <br /> Site I ` — 2 3 0 d <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> i! t r,e—SS 5 a.. `�l-eti c•W\ W1"Ave,� <br /> IEXIAMIPILIEI 11 2131 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />