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::. Waste Tire rvey & Inspection Re rt SURVEY REQUIRED <br /> •••11- State of California <br /> CIWMB — --..04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- r/ Inspection <br /> Site Suffix: b z 3 - Report I t - 2- Z b 2 a <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -C VI C aY C2i✓I`4 r <br /> 6 X2277-3" <br /> azaoB <br /> opy:CIWMB Yellow Copy:Operator Pink Copy:LEA ;:mm:j7 <br />