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...... .... <br /> A 10 <br /> Waste Tire Survey & Inspection Report SURVEY REQUIRED <br /> State ofCalifornia <br /> ';_ Waste <br /> cl �New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profileinspection Details <br /> Inspection •2 <br /> TPID- Report 7- <br /> Site Suffix: Number: inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 2 - ov?c- <br /> i-e ILA— <br /> AN 39e-a <br /> �jo CT7- Ck4-;t;r-V-, <br /> P2 5(- <br /> 42408_ <br /> EXAMPI � E Jill I <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />