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Waste Tire S. vey & Inspection Rej- A SURVEY REQUIRED <br /> ••�': State of California <br /> CIWMBf83 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> �] � 7 __ Inspection _ cam, <br /> Ste Suffix: 1 l� zi �( S Report Z l j . <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> l� Tv�Lb <br /> Z) -- Sszc� ►-rfs� w z� jy G� �� c►/ <br /> tI U j (57 -ice 12/ 7 <br /> cd <br /> w eel <br /> oc l <br /> 42408 <br /> JE XIA MJP� �JEI 111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />