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Survey & Inspection Report - *ey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Mr. Ed's (TPID:1550062) <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 12/28/2016 1048751 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1550062 - 01 <br /> Found in Database <br /> Mr. Ed's <br /> 23910 Darrigo Dr <br /> Tracy, CA 95304-7804 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Edgar Orellaga Title: Owner <br /> * 0 Tire Count: 34 <br /> Latitude: Longitude: <br /> * Inspection Type: / Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin Country <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 12/23/2016 <br /> * Time In 9:40 AM <br /> * Time Out 10:05 AM <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 /> New Tire Dealer n 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=243970&Org... 12/28/2016 <br />