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2/17/2017 • Survey&Inspection Report-Survey Form(Q I) <br /> Waste Tire Management <br /> Svstem 3.86.0061 Authorized Use Only Home I Reports I Help I Sign Out <br /> HL ode(survey Form (Page 1): DS Services of America,Inc. (TPID:1439982) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A - Survey <br /> Create PDF from � Email Inspection To Facility Operator D Inspection Form Number: IW- <br /> this Inspection Emailed on 2/17/2017 1050558 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1439982 - 01 <br /> Found in Database <br /> DS Services of America, Inc. <br /> 1024 Mellon Ave <br /> Manteca, CA 95337-6119 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Kristien Burleson Title: Region Coordinator <br /> * EA Tire Count: p <br /> Latitude: ° Longitude: <br /> * Inspection Type: .P Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> -- --- - -� <br /> Inspected By: �39-101 San Joaquin County • <br /> * Inspector: Har rit Mattu <br /> * Inspection Date: 2/7/2017 <br /> * Time In 1:55 PM <br /> * Time Out 2:15 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive Truck End-Use Container <br /> Planned <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station t-" 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 /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245777&OrganizationTPID=1439982&InspectionlD=&InspectedBy=O&RegE... 1/4 <br />