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Survey & Inspection Report - ey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Kennedy Auto Co.Inc (TPID:1339519) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is <br /> pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A- Survey <br /> Create PDF from 0 Email Inspection To Facility Operator 1B Inspection Form Number: IW- <br /> this Inspection Emailed on 12/15/2016 1048300 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1339519 - 01 <br /> Found in Database <br /> Kennedy Auto Co. Inc <br /> 4421 Clark Dr <br /> Stockton, CA 95215-8205 <br /> Local Identifier: San Joaquin County <br /> Business Rep: David Patterson Title: Yard Foreman <br /> * 1�1 Tire Count: 96 <br /> Latitude: Longitude: <br /> * Inspection Type: Routine❑ Re-inspection❑ Referral ❑ Observation❑ Educational <br /> If referral, referral type:❑ CHP❑ CalRecycle L Complaint ❑Other <br /> Inspected By: 39-101 San Joaquin County —� <br /> * Inspector• Lor Xiong <br /> * Inspection Date: 12/13/2016 <br /> * Time In 1:50 PMW <br /> * Time Out: 2I 05 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> �i Active 0 Passenger F/_1 Generator 0 Outdoor <br /> Closed ❑Altered ❑ Hauler ❑ Indoor <br /> Inactive <br /> Planned ❑Truck ❑ End-Use ❑ Container <br /> ❑OTR <br /> Business Type: <br /> ❑ New Tire Dealer ❑Auto Body ❑Agriculture ❑ Retreader <br /> ❑Used Tire Dealer❑ Hauler ❑Government❑Crumb Rubber <br /> ❑Service Station ❑Trucking Fleet❑Collection Q Dismantler <br /> ❑Auto Repair ❑ Car Dealer ❑Shredder ❑Tire Derived Fuel <br /> ❑Other Business Type Other: <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243 519&0rg... 12/15/2016 <br />