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Survey & Inspection Report -W ey 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): Pacific Tire (TPID:1810001) <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 fromj Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 1/6/2017 1049004 <br /> electronic survey (or)en Documents tab) <br /> * TPID - Site Suffix: 1810001 - 01 <br /> Found in Database <br /> Pacific Tire <br /> 18625 Highway 88 <br /> Clements, CA 92557 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Gabriel Valenzuela Title: Owner <br /> * 0 Tire Count: 6 <br /> Latitude: Longitude: <br /> * Inspection Type: q Routine F_ Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County u <br /> _ _ .._ _ _... _....._ <br /> * Inspector:i Lor Xiong u <br /> * Inspection Date: 1/4/2017 <br /> * Time In 10.05 AM <br /> * Time Out 10:25 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active -1 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 IJ Auto Body U Agriculture Retreader <br /> Used Tire Dealer I_f Hauler Government Crumb Rubber <br /> Service Station Trucking Fleet Collection Dismantler <br /> Auto Repair J Car Dealer ❑Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=244223&Organ... 1/6/2017 <br />