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Survey & Inspection Report _ vey Form (Page 1) - Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0051 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Country Club Tires&Muffler (TPID:1726651) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is <br /> pending. <br /> Part A - Survey <br /> Create PDF from Email Inspection To Facility Operator D Inspection Form Number: I41 <br /> this Inspection Emailed on 8/19/2016 1042941 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 17266'51 - 01 <br /> Found in Database <br /> Country Club Tires & Muffler <br /> 2151 Country Club Blvd <br /> Stockton, CA 95204-4801 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Steve Griffen Title: Owner <br /> * M Tire Count: 208 <br /> Latitude: Longitude: <br /> * Inspection Type: � RoutineRe-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By:1 39-101 San Joaquin County <br /> * Inspector: Lor Xiong V <br /> * Inspection Date: 9/16/2016 <br /> * Time In :00M <br /> * Time Out ? <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ✓ Passenger Generator J Outdoor <br /> Closed ;_f Altered Hauler Indoor <br /> Inactive <br /> ❑ <br /> Planned Truck _ End-Use Container <br /> J OTR <br /> Business Type: <br /> New Tire Dealer / Auto Body C Agriculture Retreader <br /> v Used Tire Dealer Hauler [Government Crumb Rubber <br /> Service Station Trucking Fleet[ Collection Dismantler <br /> Auto Repair Car Dealer E Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=237979&0rga... 8/22/2016 <br />