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Survey & Inspection Report - Survey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0061 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Cal Sheets (TPID:1533903) <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 2/10/2017 1050676 <br /> electronic survey open Documents tab) <br /> * TPID - Site Suffix: 1533903 - 01 <br /> Found in Database <br /> Cal Sheets <br /> 1212 Performance Dr <br /> Stockton, CA 95206-4925 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Doug Leadon Title: Process Reliability Mani <br /> * M Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine 0 Re-inspection Referral Observation❑ Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong — u <br /> * Inspection Date: 2/8/2017 <br /> * Time In 12:25 PM <br /> * Time Out 1:05 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V 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 Auto Body _ Agriculture Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> [;Service Station Trucking Fleet Collection Dismantler <br /> Ei Auto Repair Car Dealer 1 Shredder Tire Derived Fuel <br /> V Other Business Type Other: Cardboard Manufacturer <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245895&0rga... 2/10/2017 <br />