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Survey & Inspection Report -ovey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0054 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Brookside Golf and Country Club (TPID:1465264) <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 [11 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/29/2016 1043607 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: <br /> Found in Database <br /> Brookside Golf and Country Club <br /> 3131 Brookside Rd <br /> Stockton, CA 95219-2357 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Robin Waughta) Title: Mechanic <br /> * M Tire Count: 78 <br /> Latitude: Longitude: <br /> * Inspection Type: � Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint _ Educational Visit Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector:', Lor Xiong <br /> * Inspection Date: 8/29/2016 MITI <br /> * Time In 12:00 PM <br /> * Time Out 20 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 /> Auto Repair Car Dealer Shredder r Tire Derived Fuel <br /> V Other Business Type Other: Golf course <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=23 8645&Orga... 8/29/2016 <br />