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Survey & Inspection Report 4vey 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): American Pavement Systems,Inc. (TPID:1847517) <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 M Inspection Form Number: IW- <br /> this Inspection Emailed on 12/20/2016 1048514 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1847517 - 01 <br /> Found in Database <br /> American Pavement Systems, Inc. <br /> 17333 Comconex Road <br /> Manteca, CA 95336 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Dan Costa Title: Transportation Manage <br /> * M Tire Count: 12 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County �1 <br /> * Inspector: Lor- Xjong <br /> * Inspection Date: 12/19/2016 <br /> * Time In 10:40 AM <br /> * Time Out 10:55 ""M <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 Auto Body _ Agriculture Retreader <br /> Used Tire Dealer❑ Hauler �`)Government Crumb Rubber <br /> �. Service Station Trucking Fleet IJ Collection Dismantler <br /> (._ Auto Repair LI Car Dealer Shredder Tire Derived Fuel <br /> `-/ Other Business Type Other: Road building/Pavement repair <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243733&0rg... 12/20/2016 <br />