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Waste Tire SL ✓ey & Inspection Rep t SURVEY REQUIRED ■ <br /> ■■•�': State of California <br /> Cl <br /> (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection �f y� <br /> TPI �j Report I L , .6 6 v <br /> Site Suffix: "ll Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> All e97 — CV - s U- <br /> �t I <br /> via Ae 6 - — <br /> 42408 <br /> ■ a <br /> White Copy:CiWMB Yellow Copy:Operator Pink Copy:LEA <br />