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Survey & Inspection Report - , ley Form(Page 1) Page 1 of 2 <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): CHP-Stockton (TPID:1093531) <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 this M Email Inspection To Facility Operator 0 Inspection Form Number: IW-1041611 <br /> electronic survey <br /> * TPID - Site Suffix: 1093531 - 01 <br /> Found in Database <br /> CHP-Stockton <br /> 3330 N Ad Art Rd <br /> Stockton, CA 95215-2241 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Title: <br /> * D Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type:R 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:IHarprit Mattu <br /> * Inspection Date: 7/11/2016 <br /> * Time In 12:50 PM <br /> * Time Out 1:10 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ❑Active ❑ Passenger ❑ Generator ❑ Outdoor <br /> eClosed <br /> Inactive ❑Altered E] Hauler ❑ Indoor <br /> ❑Planned ❑Truck ❑ End-Use ❑ Container <br /> ❑ OTR <br /> Business Type: <br /> ❑ New Tire Dealer ❑Auto Body ❑Agriculture ❑ Retreader <br /> ❑ Used Tire Dealer❑ Hauler FV 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?SurveyID=235941&0rga... 7/19/2016 <br />