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EHD Program Facility Records by Street Name
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6540
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4700 - Waste Tire Program
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PR0524764
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COMPLIANCE INFO
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Entry Properties
Last modified
2/27/2019 5:53:28 PM
Creation date
2/27/2019 2:56:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0524764
PE
4740
FACILITY_ID
FA0016665
FACILITY_NAME
BNSF RAILWAY
STREET_NUMBER
6540
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18109023
CURRENT_STATUS
02
SITE_LOCATION
6540 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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`p g Waste Tire SAW & Inspection Reportftspection Report Number <br />State B California Il - 1140684 <br />CIWMB 1t11st(New <br />Manage Survey Form -Page 1 <br />California Integrated Waste Management Board <br />Part A -Survey- BLUE OR BLACK INK PEN <br />Business Profile Inspection Details <br />TPID - Inspection Type (Fill one) <br />Site Suffix: d 3 d Z S 0/ 0 Routine Q Re -inspection 0 Referral Q Observation <br />Local If Referral, choose referral type (Fill one) <br />Identifier:Q CHP QCIW- - - <br />MB Q Complaint O Educational Visit Q Other <br />Business or Facility Name <br />Inspected By Inspector <br />&,e/; rt / ri Nom ,/w <br />Physical Address 7 3 <br />6 5-vo S, / < kcj. <br />�t�7• <br />c� Asa <br />Inspection Date <br />l o / <br />Q <br />Time In <br />Time Out <br />Business Rep <br />Title <br />o <br />O AM <br />o O AM <br />PM <br />40PM <br />- <br />--- <br />Operational Status <br />Tire Type <br />Business Role <br />Storage Type <br />Tire Count (Whole/PTE) <br />(Fill one only) <br />(Fill all that apply) <br />(Fill all that apply) <br />(Fill all that apply) <br />r <br />• Active <br />® Passenger <br />® Generator <br />O Outdoor <br />Q Closed <br />O Altered <br />GPS Latitude <br />0 Hauler <br />i Q Indoor <br />Q Inactive <br />O Truck <br />Longitude - <br />O <br />O Planned <br />O OTR <br />0 End -Use <br />Q Container <br />Business Type (Fill all that apply) <br />O New Tire Dealer O Auto Repair Q Trucking Fleet Government 0 Retreader <br />Q Used Tire Dealer O Auto Body Q Car Dealer Q Collection Q Crumb Rubber <br />Q Service Station O 1 lauler O Agriculture O Shredder ® Other <br />Part B - Inspection of Waste Tire Dealer, Generator, Hauler and End -Use Facility <br />V A HAULING AND MANIFEST REQUIREMENTS <br />O O PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br />O O PRC § 42953 - Contracts with Registered Waste Tire Haulers. <br />O O PRC § 42956 - Registration/Decal in Vehicle <br />Q Q 14 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements <br />Q Q 14 CCR § 18459.1 - Tire Program ID Number from CIWMB <br />Q 0 14 CCR § 18459.2.1 - Submittal of Comprehensive Trip Logs within 90 days <br />O O 14 CCR § 18459.3 - Retention of Comprehensive Trip Logs for 3 years <br />O O 14 CCR § 18460.2 - Manifest System Requirements for Registered Waste Tire Haulers <br />O O 14 CCR § 18461 - Manifest System Requirements for Waste Tire End -Use Facilities <br />O O 14 CCR § 18462 - Manifest System Requirements for Tire Dealers or Waste Tire Generators <br />010 Other: § <br />Comments <br />/w//w !' /YllJ/r//1 <br />I <br />Inspection Form Included: Q / <br />Comments Included: ®-- <br />Business Rep's Signature Phone Number <br />INSTRUCTIONS ON BACK Correct: 0# Incorrect: X <br />White Copy: CIWMB Yellow Copy. Operator <br />E_ X A F <br />Pink Co v: Ll� <br />0 Dismantler O Tire Derived Fuel <br />n � <br />-..L✓Ifr'►?r1oC�CLto /�CGc � LLQ% �Gl�f/l of <br />ENFORCEMENT STATUS <br />O Notice Of Violation O Extension <br />Compliance Deadline <br />Datem/m/m <br />(Required for NOV or EXT) <br />0 Referred/ CIWMB Enforcement <br />Q In Compliance - No Violations <br />Number, <br />
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