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Survey & Inspection Report *rvey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only - I ReportsOut <br /> Hide ISurvey Form (Page 1): TOYS R US (TPID:1359512) <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 In Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 12/29/2016 1048823 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1359512 - 01 <br /> Found in Database <br /> TOYS R US <br /> 1624 Army Ct <br /> Stockton, CA 95206-4105 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Jose Galvan Title: Fleet Manager <br /> * 1fl Tire Count: 3 <br /> Latitude: Longitude: <br /> * Inspection Type: � Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San JoaC uin, County V <br /> * Inspector: Ben EscorLo v <br /> * Inspection Date: 12/28/2016 <br /> * Time In 2:55 PM <br /> * Time Out 3:15 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> 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 /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> J Other Business Type Other: Distribution Center <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurvcyID=244042&0rg... 12/29/2016 <br />