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1/25/2017 Survey&Inspection Report-Survey Form(Pa I <br /> Waste Tire Management <br /> System 3.$6.005$ Authorized Use Only Home I Reports I Help I Sign Out <br /> ��Survey Form (Page 1):Jeff Rogers Trucking (TPID:1533054) <br /> Hide <br /> Report is in SUBMITTED status — CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A- Survey <br /> Create PDF from 21 Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 1/25/2017 1049612 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1533054 - 01 <br /> Found in Database <br /> Jeff Rogers Trucking <br /> 3526 Munford Ave <br /> Stockton, CA 95215-8121 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Doreen Rogers Title: President <br /> * 0 Tire Count: 34 <br /> Latitude: ° Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: Harprit Mattu • <br /> * Inspection Date: 1/12/2017 <br /> * Time In 1:25 PM <br /> * Time Out 1:45 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ,t Active Passenger �if Generator Outdoor <br /> Closed Altered Hauler V Indoor <br /> Inactive V Truck End-Use Container <br /> Planned <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station ,0 Trucking Fleet Collection Dismantler <br /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244830&0rganizationTPID=1533054&lnspection[D=&Inspected By=O&Reg... 1/4 <br />