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1/30/2017 Survey&Inspection Report-Survey Form(P�---1) <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hlde Survey Form (Page 1): LINDEN UNIFIED SCHOOL DISTRICT(TPID:1411498) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is pending. <br /> Part A - Survey <br /> Create PDF from 2j Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 1/27/2017 1049614 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1411498 - 01 <br /> Found in Database <br /> LINDEN UNIFIED SCHOOL DISTRICT <br /> 18351 E Highway 26 <br /> Linden, CA 95236-9584 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Jon Cheatham Title: Supervisor <br /> * 0 Tire Count: 1 <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 County o <br /> * Inspector: Harprit Mattu <br /> * Inspection Date: 1/17/2017 LLLW <br /> * Time In 1:55 PM <br /> * Time Out 2:10 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ✓ Active Passenger Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive ✓ Truck End-Use Container <br /> Planned <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 /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=244832&0rganizationTPID=1411498&lnspectionl D=&RegEntityTPID=1417... 1/4 <br />