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Survey & Inspection Report - Ivey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0051 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): LKQ Acme Truck Parts&Equipment Inc. (TPID:1714628) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is <br /> pending. <br /> Part A -Survey <br /> Create PDF from n Email Inspection To Facility Operator F?1 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/19/2016 1042950 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1714628 - 01 <br /> Found in Database <br /> LKQ Acme Truck Parts & Equipment Inc. <br /> 1016 S Wilson Way <br /> Stockton, CA 95205-7035 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Mike Hofer Title: Plant Manager <br /> * M Tire Count: 165 <br /> Latitude: Longitude: <br /> * Inspection Type:,� Routine I Re-inspection D Referral _ Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle Complaint __i Educational Visit El Other <br /> Inspected By:1.39-101 San Joaquin County <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 8/16/2016 <br /> * Time In 11:20 AM1 <br /> Time Out' 11:40 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> �T Active ❑ Passenger ":i] Generator 4_ Outdoor <br /> Closed ❑Altered ❑ Hauler Indoor <br /> Inactive �Truck i End-Use Container <br /> Planned - <br /> ❑ OTR <br /> Business Type: <br /> r New Tire Dealer ❑Auto Body [:]Agriculture ❑ Retreader <br /> V Used Tire Dealer❑ Hauler ❑Government❑ Crumb Rubber <br /> Service Station ❑Trucking Fleet❑Collection ❑./ Dismantler <br /> _ Auto Repair ❑ Car Dealer ❑Shredder ❑Tire Derived Fuel <br /> Other Business Type Other: <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=23 7988&0rga... 8/22/2016 <br />