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Survey & Inspection Report - " -ey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Costco Wholesale-Tire Center(TPID:1256261) <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 n Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 12/15/2016 1048269 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1256261 - 01 <br /> Found in Database <br /> Costco Wholesale - Tire Center <br /> 3250 W Grant Line Rd <br /> Tracy, CA 95304-8427 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Eric Williams Title: Tire Center Manager <br /> * 0 Tire Count: 200 <br /> Latitude: Longitude: o <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 <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 12/13/2016 <br /> * Time In 10:40 AM <br /> * Time Out 11:00 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active V Passenger V Generator Outdoor <br /> Closed Altered Hauler J 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 /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=243488&0rg... 12/15/2016 <br />