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■ ,, Waste Fire SL ley & Inspection Rep, sURVEY REQUIRED] <br /> ■ <br /> I•_:` State of Comments Form <br /> CIWMB783 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: � G r 3 7 1 01 Report 2 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> T <br /> 2Po- <br /> Lt.) <br /> 42408 <br /> ' XAPL3 ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />