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Survey &Inspection Report- vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only .. Out <br /> Hide Survey Form (Page 1): Lake Wood Auto Repair(TPID:1671703) <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 0 Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 1/9/2017 1048972 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1671703 - 01 <br /> Found in Database <br /> Lake Wood Auto Repair <br /> 201 N Sacramento St <br /> Lodi, CA 95240 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Ken Paige Title: Owner <br /> * M Tire Count: 61 <br /> Latitude: ` Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joacuin County u <br /> * Inspector: Ben Escotto u <br /> * Inspection Date: i/3/20_17 <br /> * Time In �;1 pivl <br /> * Time Out <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active V Passenger Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> OTR <br /> Business Type: <br /> V New Tire Dealer Auto Body Agriculture Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station Trucking Fleet Collection Dismantler <br /> J Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244191&Organ... 1/9/2017 <br />