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;=: Waste Tire S&ey & Inspection Rep SURVEY REQUIRED <br /> •••jy' StateofCalifomia <br /> CIWMBIB3 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- p Inspection <br /> Site Suffix. L r-' 1 Report I 2 - .1. '] --7 5 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Lf—ngi7 l vlt'C.--,) -- !'1'�11►'�_.. L'X vim► i�l rS - <br /> Alm .� <br /> A4 <br /> 42408 <br /> En X A M P L E T I a <br /> Ir <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFA <br />