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Survey & Inspection Report - 1Wey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Verizon (TPID:1595498) <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 rj Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 1/25/2017 1049854 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1595498 - 01 <br /> Found in Database <br /> Verizon <br /> 17855 Comconex Rd <br /> Manteca, CA 95336-8121 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Nate Washington Title: Fleet Operator Supervi� <br /> * 0 Tire Count: 0 <br /> Latitude: o Longitude: <br /> * Inspection Type: / Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong u <br /> ...._....._.......... ....._. <br /> * Inspection Date: 1/24/2017 <br /> * Time In 12:25 PM <br /> * Time Out 12:35 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> J Active uu Passenger Generator Outdoor <br /> Closed <br /> ❑ <br /> Inactive Altered Hauler Indoor <br /> Planned ❑Truck End-Use Container <br /> ❑OTR <br /> Business Type: <br /> (_i. New Tire Dealer Auto Body Agriculture Retreader <br /> ❑ Used Tire Dealer Hauler Government Crumb Rubber <br /> ❑Service Station -1 Trucking Fleet Collection Dismantler <br /> [I Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> [ Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245072&0rga... 1/25/2017 <br />