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........... .. . <br /> -—------- - -­-­---------- <br /> A <br /> Wasteifornia Tire Survey & Inspection Rep%,, t SURVEY REQUIRED_� <br /> 1124 State of Cal <br /> .;Jjj ClWMB 183 (New 04/0Comments ts Form <br /> Q. 3-:7 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile inspection Details <br /> Inspection <br /> TPID- 1 Report Zi <br /> Site Suffix: 4-)) Number: <br /> • inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �Iov 21 <br /> bncl <br /> de, s lrzn <br /> ,prun- 4m 7fAn Lz, <br /> _ CEO 277:) <br /> V <br /> Al <br /> A t P WA <br /> w1g, <br /> 42408 <br /> JE XIAMIPILIE1 _111,213■ 1 <br /> White Copy:C1WMB Yellow Copy:Operator Pink Copy:LEA <br />