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Survey & Inspection ReportWvey Form (Page 1) Page 1 of 3 <br /> AuthorizedWaste Tire Management <br /> System 3.86.0059 Use Only - I ReportsOut <br /> Hide ISurvey Form (Page 1): University of Pacific Maintenance department(TPID:1405445) <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 n Email Inspection To Facility Operator [A Inspection Form Number: IW- <br /> this Inspection Emailed on 2/7/2017 1050168 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1405445 - 01 <br /> Found in Database <br /> University of Pacific Maintenance department <br /> 1050 W Brookside <br /> Stockton, CA 95211-1050 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Kong Thao Title: Mechanic <br /> * M Tire Count: 78 <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 Joaquin County u <br /> * Inspector: Ben Escotto u <br /> * Inspection Date: 1/31/2017 <br /> * Time In 11:00 AM <br /> * Time Out 11:30 AM <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 /> 4 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 /> Other Business Type Other: College Vehicle Fleet <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=2453 88&Organ... 2/7/2017 <br />