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Waste Tire"vey & Inspectiont <br /> SURVEY REQUIRED <br /> H. State of California <br /> 3 (New 04/04) Comments Form ----- —_-- <br /> CIWMB 18 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details - <br /> - - Q Inspection <br /> Site _ ,1 <br /> Site Suffix: � � � I Report = � �.. /� V tj S <br /> Number: -h <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Vn to5L5ag-0 ) <br /> Fue—,11 1, LA <br /> 5 C ts��1 P Jr 4 fe C4Aul tp1E XIA MIPILIE1 111273 . <br /> Mu4 Wil e LA <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />