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Survey & Inspection Report - S y Form (Page 1) Page 1 of 2 <br /> 40 <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):White Arrow(TPID:1723592) <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 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/3/2016 1042242 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1723592 - 01 <br /> Found in Database <br /> White Arrow <br /> 2402 S California St <br /> Stockton, CA 95206-3240 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Karla Bonilla Title: Terminal Manager <br /> * 0 Tire Count: 13 <br /> Latitude: o 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: Harprit Mattu ... <br /> * Inspection Date: 8/1/2016 <br /> * Time In 1:05 PM _, <br /> * Time Out 1:30 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ❑ Passenger 0 Generator Q Outdoor <br /> Closed ❑Altered <br /> HInactive ❑ Hauler El indoor <br /> Planned ❑Truck ❑ End-Use 0 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 /> ❑Other Business Type Other: <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=236613&0rgani... 8/3/2016 <br />