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Survey & Inspection Report -0vey Form (Page 1) • Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): DOUGLAS TIRE BRAKE AND WHEEL (TPID:1244529) <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 n7 Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 12/16/2016 1048349 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1244529 - 01 <br /> Found in Database <br /> DOUGLAS TIRE BRAKE AND WHEEL <br /> 1004 S Cherokee Ln <br /> Lodi, CA 95240-4349 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Bob Rusk Title: Ow rer <br /> * IT1 Tire Count: 85 <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 Sari Joaquin County u <br /> * Inspector: Ben Escotto u <br /> * Inspection Date: 12/14/2016 <br /> * Time In 11:20 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 /> OTR <br /> Business Type: <br /> New Tire Dealer j._]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://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243568&Org... 12/16/2016 <br />