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Survey & Inspection Rep - Survey Form (Page 1) Pagel of 3 <br /> Waste Tire Management <br /> System 3.86.0049 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Mataga of Stockton (TPID:1096816) <br /> Report is in SUBMITTED status - CalRecycle approval of this <br /> inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A - Survey <br /> Create PDF j Email Inspection To Facility Operator D Inspection Form Number: <br /> from this Inspection Emailed on 7/21/2016 IW-1041746 <br /> electronic (open Documents tab) <br /> survey <br /> * TPID - Site Suffix: 1096816 - 01 <br /> Found in Database <br /> Mataga of Stockton <br /> 3261 Auto Center Cir <br /> Stockton, CA 95212-2838 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Nelson Lara Title: Service Director <br /> * 0 Tire Count: 71 <br /> Latitude: o Longitude: <br /> * Inspection Type:21 Routine ❑ Re-inspection ❑ Referral ❑Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑Complaint ❑ Educational Visit ❑ Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: gen Escotto <br /> * Inspection Date: 7/21/2016 142 <br /> * Time In 2:55 PM <br /> * Time Out 3:05 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ❑Active 1z Passenger Generator Outdoor <br /> ❑ Closed ❑Altered ❑ Hauler Indoor <br /> ❑ Inactive <br /> F1 Truck 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 ❑ Dismantler <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=... 7/21/2016 <br />