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Survey & Inspection Report- " ey Form (Page 1) Page 1 of 2 <br /> Waste Tire Management System 3.86.0053 Authorized Use Only Home i Reports I Help I Sign Out <br /> Hide Survey Form(Page 1):Premier Chrysler of Tracy(TPID:1734835) <br /> Report is in SUBMITTED status-CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A-Survey <br /> Create PDF from this v Email Inspection To Facility Operator <br /> electronic survey Inspection Emailed on 8/25/2016(open Documents tab) <br /> ►TPID-Site Suffix:17;4335 -O1 <br /> Found In Database <br /> Premier Chrysler of Tracy <br /> 3460 Naglee Rd <br /> Tracy,CA 95304-7304 <br /> Local Identifier:- n Joaquin County <br /> Business Rep:gale A Huey Title:Parts Operations Manac <br /> x 7 Tire Count:78 <br /> Latitude: °Longitude: <br /> Inspection Type: Routine Re-inspection Referral Observation <br /> If referral,referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By: --101 San 3oaRuIn C0u.,, <br /> 'Inspector: -Xiong YI <br /> Inspection Date: :512016 <br /> ,Time In 45 PM �- <br /> Time Out ,P1,11 <br /> Operation Status Tire Type Business Role Storage Type <br /> Active I Passenger 4,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 Trucking Fleet Collection Dismantler <br /> _.Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> Part B-Inspection of Waste Tire Dealer,Generator,and End-Use Facility <br /> Part B-Inspection of Waste Tire Dealer,Generator,Hauler,and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> ❑ ❑ PRC§42951-Waste Tire Hauler Registration and Transport of Tires <br /> ❑ ❑ PRC§42953-Contracts with Registered Waste Tire Haulers <br /> ❑ ❑ PRC§42956-Hauler Registration/Decal in Vehicle <br /> ❑ ❑ 14 CCR§18459-Responsible Entities Complying with Manifesting Requirements <br /> ❑ ❑ 14 CCR§18459.1-Tire Program ID Number and Certificate from CalRecycle <br /> 1:1 El 14 CCR§18459.2.1-Submittal of Manifest Forms and Tire Trip Logs within 90 days <br /> ❑ ❑ 114 CCR§18459.3-Retention of Manifest Forms and Tire Trip Logs for 3 years <br /> ❑ ❑ 14 CCR§18460.2-Manifest System Requirements for Registered Waste Tire Haulers <br /> ❑ ❑ 114 CCR§18461-Manifest System Requirements for Waste Tire End-Use Facilities <br /> ❑ ❑ 114 CCR§18462-Manifest System Requirements for Waste Tire Generators <br /> ❑ 10 1 Other 14 CCR§ <br /> ENFORCEMENT STATUS <br /> Notice of Violation Extension <br /> Compliance Deadline: <br /> (Required for NOV or ECT) <br /> CReferred/CalRecyde Enforcement <br /> e In Compliance-No Violations <br /> Comments: <br /> sT: -'�j- i A A .,(PawgraPh FontFamily Fcnt Sizes L— <br /> Routine waste tire inspection was done on this date and the following was noted: <br /> No violations or areas of concern. <br /> Notes: <br /> 1.)TPID certificate was posted by the business office. <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=23 8490&0rga... 8/25/2016 <br />