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:_Waste Tire Si Tey & Inspection Rep t SURVEY REQUIRED <br /> •••"' State of California <br /> CIWM- -- (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection - Q <br /> Site Suffix: 1 1 - b 1 Report = t I 1 1 6 7 Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C;Nzt,Ke—C-> —\,v 5 ck <br /> JE <br /> l <br /> ��5 �ccsa�swo°�• <br /> ?ti A P j (- E; 1 12 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />