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5/15/2017 Survey&Inspection Report-Survey Form(Q1) <br /> Waste Tire Management 0 <br /> Systern 3.86.0067 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hlde Survey Form (Page 1): Caltrans Stockton Maintenance Station (TPID:1282099) <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 � Email Inspection To Facility Operator � Inspection Form Number: IW- <br /> this Inspection Emailed on 5/15/2017 1055215 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1282099 - 01 <br /> Found in Database <br /> Caltrans Stockton Maintenance Station <br /> 1603 S B St <br /> Stockton, CA 95206-2476 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Mark Hoyle Title: Equipment Material Manage <br /> * EE Tire Count: 27 <br /> Latitude: ° Longitude: <br /> * Inspection Type: A 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: Lor Xiong <br /> * Inspection Date: 5/12/2017 in <br /> * Time In 9:13 AM <br /> * Time Out 9:54 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active V Passenger Generator V Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive V Truck V End-Use Container <br /> Planned <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler t" 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 /> 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?Survey[D=250440&OrganizationTPID=1282099&I nspection]D=&InspectedBy=O&RegE... 1/4 <br />