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Survey & Inspection Rep ` - Survey Form (Page 1) Pagel of 3 <br /> Waste Tire Management <br /> I-System 3.86.0050 Authorized Use only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Dan's Tire & Auto (TPID:1586273) <br /> Report is in SUBMITTED status — CalRecycle approval of this <br /> inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A - Survey <br /> Create PDF Email Inspection To Facility Operator 21 Inspection Form Number: <br /> from this Inspection Emailed on 8/3/2016 IW-1042227 <br /> electronic (open Documents tab) <br /> survey <br /> * TPID - Site Suffix: 1586273 - 01 <br /> Found in Database <br /> Dan's Tire & Auto <br /> 1533 S Stockton St <br /> Lodi, CA 95240-6301 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Casy Haynes Title: Owner <br /> * 0 Tire Count: 0 <br /> Latitude: o Longitude: <br /> * Inspection Type:❑ Routine ❑ Re-inspection ❑ Referral ❑Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑Complaint ❑ Educational Visit ❑ Other <br /> Inspected By: 39-101 San Joaquin County IVI <br /> * Inspector: Ben Escotto IVi <br /> * Inspection Date: 8/2/2016 <br /> * Time In 11:45 AM <br /> * Time Out 12:00 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ❑Active ❑ Passenger ❑ Generator ❑ Outdoor <br /> ❑Closed ❑Altered ❑ Hauler ❑ Indoor <br /> El Inactive <br /> ❑ <br /> ❑ Planned ❑ <br /> Truck End-Use El 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 ❑Trucking Fleet❑ Collection ❑ Dismantler <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=2... 8/3/2016 <br />