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Survey & Inspection Report - y Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0050 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Concrete,Inc. (TPID:1629896) <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 L'J Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/12/2016 1042506 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1629896 - 01 <br /> Found in Database <br /> Concrete, Inc. <br /> 24717 East Branet Road <br /> Lodi, CA 95240-9611 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Ernesto Alvarez Title: Plant Manager <br /> * M Tire Count: 31 <br /> Latitude: o Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By: 39-101 Sail joaquir County <br /> * Inspector: Harprit Mattu u <br /> * Inspection Date: 8/8/2016 <br /> * Time In 11:00 AM <br /> * Time Out 11:40 AM <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 L Retreader <br /> Used Tire Dealer Hauler Government F,.; Crumb Rubber <br /> Service Station Trucking Fleet Collection Dismantler <br /> Auto Repair Car Dealer Shredder L Tire Derived Fuel <br /> Other Business Type Other: Rock/Sand quarry <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=237225&0rga... 8/12/2016 <br />