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Waste Tire Survey & Inspection Report <br /> ■ „ti State of Califomia - ■ <br /> COMB 183(New 04104) Comments Form <br /> CallfomlalntegmteawaateMamgem.ntBeam BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 4� o c J Report <br /> ( ! J r I Number: <br /> Inspection Number on the associated Survey form(Page i) <br /> Comments <br /> II/CS,e <br /> 13240,sg_ <br /> 2 ., <br /> f <br /> �.. 471-... z�••a`Ci��`e`f— v�/[�r� <br /> jEjXjAj*j.PjL1E1 1112N 42408 <br /> ■ White Copy.CIWMB Yellow Copy:Operator. Pink Copy.LEA - © ■ <br /> 0526306.0555 <br />