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Survey & Inspection Report -Wey Form (Page 1) Page I of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only .. Out <br /> Hide Survey Form (Page 1): Costco #1091 (TPID:1664762) <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 u Email Inspection To Facility Operator Efl Inspection Form Number: IW- <br /> this Inspection Emailed on 12/30/2016 1048846 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1664762 - 01 <br /> Found in Database <br /> Costco #1091 <br /> 2680 Reynolds Ranch <br /> Lodi, CA 95240 <br /> Local Identifier: San Joaquin County <br /> Business Rep:Joshua Dudley Title: Manager <br /> * M Tire Count: 77 <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: gen Escotto u <br /> * Inspection Date: 12/29/2016 <br /> * Time In 230 PM <br /> * Time Out 2:50 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active V Passenger d Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> OTR <br /> Business Type: <br /> V New Tire Dealer 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=244065&0rg... 12/30/2016 <br />