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Survey & Inspection Report - vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0054 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Stockton Golf&Country Club(TPID:1645901) <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 r1 1 Email Inspection To Facility Operator EE Inspection Form Number: IW- <br /> this Inspection Emailed on 9/15/2016 1044564 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1645901 - 01 <br /> Found in Database <br /> Stockton Golf& Country Club <br /> 3800 Country Club Blvd <br /> Stockton, CA 95204-3800 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Bernie Holloway Title: Superintendent <br /> * M Tire Count: 41 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By: 3 -101 San Joaquin County <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 9/15/2016 <br /> * Time In 11:20 AM <br /> * Time Out 11:45 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active Passenger V Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> V OTR <br /> Business Type: <br /> F_ 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 /> V Other Business Type Other: Golf course <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=239607&0rga... 9/15/2016 <br />