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Survey & Inspection Report - ` rey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0061 Authorized Use only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Burgess Supply(TPID:1666095) <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 LTJ Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 2/17/2017 1051017 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1666095 - 01 <br /> Found in Database <br /> Burgess Supply <br /> 8301 Sedan Avenue <br /> Manteca, CA 95337-8914 <br /> Local Identifier: San Joaquin County <br /> Business Rep:Jaime Martinez Title: Mechanic <br /> * 71 Tire Count: 447 <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 CounLy u <br /> * Inspector: Ben Escotto v <br /> * Inspection Date: 2/15/2017 <br /> * Time In 230 PM <br /> * Time Out ?.50 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active 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 Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station V Trucking Fleet Collection Dismantler <br /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=246236&0rga... 2/17/2017 <br />