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Survey & Inspection Report lirvey Form (Page 1) Page I of 3 <br /> AuthorizedWaste Tire Management <br /> System 3.86.0054 Use Only Home I Reports I Help <br /> I Sign Out <br /> Hide Survey Form (Page 1): Costco #1031 (TPID:1547027) <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 Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 9/2/2016 1043633 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1547027 - 01. <br /> Found in Database <br /> Costco #1031 <br /> 2440 Daniels St <br /> Manteca, CA 95337-6745 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Rodney Oliver Title: Part-Time Supervisor <br /> * 0 Tire Count: 100 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By: 30-101 San Joaquin County <br /> * Inspector: Sen Escott3 v <br /> * Inspection Date: 8/29/2016 <br /> * Time In 2.30 PM <br /> * Time Out 2:55 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> OTR <br /> Business Type: <br /> J New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler 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 /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=238670&0rgani... 9/2/2016 <br />