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_ Waste Tire S*vey & Inspection Rer t <br /> SURVEY REQuiRE�l <br /> ornia------ <br /> '==,== COMBI 3'f(New04/04) Comments Form �- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> ID- y Inspection [ <br /> Siitte Suffix: l 1 Report = I — Z 7 S �Q <br /> Number: J <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> A Its- <br /> rets . <br /> ho-q") <br /> 42408 <br /> E XIA MIPI LJIEJ 11 23 <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA EDO 7 <br />