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--- ■ <br /> Waste Tire Sl Bey & Inspection Rep SURVEY REQUIRED <br /> ■•■•�• State of California � ---_-- —_---_ - <br /> CIWMBt83 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> e r� 1 Inspection I J <br /> TPID l J oC 11 - Report I .1 '1 1 L <br /> Site Suffix: 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> Nraa o° 3 1`b ©q S ' AO <br /> CA <br /> A- <br /> 1 <br /> ---� A,00n r <br /> �Ai Mm�, S. e r-t� <br /> 1 11 C. L s mss, rA) f ' <br /> 42408 <br /> EXAM P Ir E s R v e <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />