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Waste Tire Survey & Inspection Report i SURVEY REQUIRED <br /> CIWMB 83California <br /> (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> ;iness Profile QInspection Details <br /> insC7 L, 7 0 Report <br /> Site te Suffix: b Re ort <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Com_ c, . n-S �S <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFA <br />