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Survey & Inspection Report - rvey Form (Page 1) . Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0062 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1):J.R. Simplot Company(TPID:1576435) <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 Email Inspection To Facility Operator D Inspection Form Number: IW- <br /> this Inspection Emailed on 3/16/2017 1052204 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1576435 - 01 <br /> Found in Database <br /> J.R. Simplot Company <br /> 4863 Carpenter Rd <br /> Stockton, CA 95215-8106 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Steve Woods Title: Unit Supervisor <br /> * 17 Tire Count: 43 <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 San Joaquin County <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 3/13/2017 <br /> * Time In 11:20 AM <br /> * Time Out 11:30 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active V Passenger V 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 ._f Collection Dismantler <br /> Auto Repair ❑ Car Dealer Shredder Tire Derived Fuel <br /> v Other Business Type Other: Fertilizer Manufacturer/Distributor <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=247422&0rga... 3/16/2017 <br />