My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
A
>
AUTO PLAZA
>
2800
>
4700 - Waste Tire Program
>
PR0536137
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/20/2019 12:49:59 PM
Creation date
2/20/2019 11:34:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536137
PE
4740
FACILITY_ID
FA0020768
FACILITY_NAME
Tire and Brake Pros
STREET_NUMBER
2800
STREET_NAME
AUTO PLAZA
STREET_TYPE
WAY
City
Tracy
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
2800 AUTO PLAZA WAY STE 110
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
CField
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
20
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Waste Tire Survey & Inspection Report Inspection Report Number <br /> State of California <br /> CalRecycle — <br /> CalRecycle Survey Form - Page 1 I1 1177568 <br /> Dept.of Resources Recycling and Recovery(CalRecycle) <br /> Part A-Survey BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- - Inspection Type(Fill one) <br /> Site Suffix: / 3 0 Routine Q Re-inspection Q Referral Q Observation <br /> Local If Referral,choose referral type(Fill one) <br /> Identifier. ay. �C, ,f`tij✓\- CU`- Q CHP Q CalRecycle Q Complaint Q Educational Visit Q Other <br /> Business or Facility Name Inspected By Inspector <br /> Physical Address 1 Lj f <br /> 1 tY�1,�LICti <br /> q� Inspection Date <br /> {�L CA `537OLI Time In Time Out <br /> Business Rp Title 77 O AM O AM <br /> ( G 3 > ® PM ( U QPM <br /> �Z� tt�✓v1 s ��c•yl <br /> - Operational Status Tire Type Business Role Storage Type <br /> Tire Count (Whole/PTE) Q ^� (Fill one only) (Fill all that apply) (Fill all that apply) (Fill all that apply) <br /> O V ® Active (16 Passenger ® Generator Q Outdoor <br /> O Q Closed Q Altered <br /> GPS Latitude Q Hauler ® Indoor <br /> O Q Inactive Q Truck <br /> Longitude - Q Planned Q OTR do End-Use Q Container <br /> Business Type(Fill all that apply) <br /> ® New Tire Dealer ® Auto Repair Q Trucking Fleet Q Government Q Retreader Q Dismantler Q Tire Derived Fuel <br /> Q Used Tire Dealer Q Auto Body Q Car Dealer Q Collection Q Crumb Rubber <br /> Q Service Station Q Hauler Q Agriculture Q Shredder Q Other <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility ENFORCEMENT STATUS <br /> V I A HAULING AND MANIFEST REQUIREMENTS <br /> Q Q Q Notice Of Violation Q Extension <br /> PRC§42951 -Waste Tire Hauler Registration and Transport of Tires <br /> Q Q PRC§42953-Contracts with Registered Waste Tire Haulers. Compliance Deadline <br /> PRC§42956-Registration/Decal in Vehicle <br /> Q O 14 CCR§18459-Responsible Entities Complying with Manifesting Requirements Date m <br /> Q Q 14 CCR§18459.1 -Tire Program ID Number from CalRecycle <br /> Q Q 14 CCR§18459.2.1 -Submittal of Comprehensive Trip Logs within 90 days (Required for NOV or EXT) N <br /> a <br /> Q O 14 CCR§18459.3-Retention of Comprehensive Trip Logs for 3 years o <br /> Q O 14 CCR§18460.2-Manifest System Requirements for Registered Waste Tire Haulers Q Referred/CalRecycle Enforcement <br /> Lu <br /> W <br /> Q O 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities <br /> Q O 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators ®In Compliance-No Violations o <br /> Q Q Other:§ <br /> Comments <br /> Inspection Form Included: Q <br /> Comments Included: <br /> Business Rep's Signature Phone Number In ec rs i n ure Phone Number <br /> �-�( 62081 <br /> INSTRUCTIONS ON BACK Correct:6 Incorrect: q E X M P' E 1 2 3 <br /> White Copy:CalRecycle Yellow Copy:Operator Pink Copy:LEA <br />
The URL can be used to link to this page
Your browser does not support the video tag.