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Survey & Inspection Report - " •vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0065 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1):Jason Bull (TPID:1764892) <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 n Email Inspection To Facility Ooerator M Inspection Form Number: IW- <br /> this Inspection Emailed on 5/9/2017 1054339 <br /> electronic survey (or)en Documents tab) <br /> * TPID - Site Suffix: 1764892 - 01 <br /> Found in Database <br /> Jason Bull <br /> 919 Norman Dr <br /> Manteca, CA 95336-5953 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Jason Bull Title: Owner <br /> * 0 Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: � Routine Re-inspection Referral Observation(71 Educational <br /> If referral, referral type: CHP CalRecycle LI Complaint Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 5/1/2017 <br /> * Time In 8_52 AM _ — - <br /> * Time Out 9:08 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active q Passenger Generator Outdoor <br /> Closed Altered q Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler Government[ j Crumb Rubber <br /> F I Service Station Trucking Fleet Collection ❑ Dismantler <br /> [1 Auto Repair Car Dealer Shredder [I Tire Derived Fuel <br /> [! Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=249555&0rgani... 5/9/2017 <br />