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Wastes <br /> ka <br /> Tire S.__ Bey & Inspection Rep-,t SURVEY REQUIREDState of Californi <br /> ■ <br /> CIWMB 783 (New 04/04) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- U Inspection <br /> Site Suffix: 3 3 -1 - Report 3 5; ,Z,� <br /> I � Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1. f4L-t-t�i�-y <br /> /Z7 ho Is . <br /> Ir <br /> a cl�.wl' <br /> W C-S�� SR�Sc�.O <br /> 1EXIAMIPILIel 1 1 3 42408 <br /> ■ ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />