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2/2/2017 0 Survey&Inspection Report-Survey Form(P ) <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Rudolph And Sletten Inc.(TPID:1508215) <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 rh Email Inspection To Facility Operator [A Inspection Form Number: IW- <br /> this Inspection Emailed on 2/2/2017 1050153 <br /> electronic survey (or)en Documents tab) <br /> * TPID -Site Suffix: 1508215 - 01 <br /> Found in Database <br /> Rudolph And Sletten Inc. <br /> 3614 Zephyr Ct <br /> Stockton, CA 95206-4207 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Wil Fegett Title: Equipment Manager <br /> * (A Tire Count: 64 <br /> Latitude: ° Longitude: <br /> * Inspection Type: !I) Routine; Re-inspection � Referral ❑ Observation © Educational <br /> If referral, referral type: iJ CHP ❑ CalRecycle ❑ Complaint ❑ Other <br /> Inspected By: 39-101 San Joaquin County • <br /> * Inspector: Harprit Mattu V <br /> * Inspection Date: 1/20/2017 <br /> * Time In 2,30 PM <br /> * Time Out 2;50 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active 9 Passenger L�6 Generator (Z Outdoor <br /> ❑ Closed ❑Altered ❑ Hauler 0 Indoor <br /> Ej Inactive D Truck <br /> Planned E) End-Use © Container <br /> Oe OTR <br /> Business Type: <br /> L J New Tire Dealer ❑ Auto Body ❑ Agriculture 0 Retreader <br /> El Used Tire Dealer ❑ Hauler ❑ Government ❑ Crumb Rubber <br /> Service Station ❑Trucking Fleet 'i_j Collection ❑ Dismantler <br /> Q Auto Repair ❑ Car Dealer L.) Shredder ❑Tire Derived Fuel <br /> Other Business Type Other: Construction Company <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 /> 0 ❑ PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> https://secure.calrecycle.ca.govM/TM S/Inspection/Survey.aspx?SurveyID=245373&OrganizationTPI D=1508215&InspectionID=&Inspected By=O&Reg... 1/4 <br />