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3/23/2017 Survey&Inspection Report-Survey Form(Pane 1) <br /> Waste Tire Management <br /> System 3.86.0062 Authorized Use Only Home I Reports I Help I Sign Out <br /> F. ]Survey Form (Page 1):CITY OF LODI (TPID:1308006) <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 04 Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 3/23/2017 1052670 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1308006 - 01 <br /> Found in Database <br /> CITY OF LODI <br /> 1331 S Ham Ln <br /> Lodi, CA 95242-3904 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Randy Laney Title: Fleet Services Supervisor <br /> * 0 Tire Count: 64 <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 <br /> * Inspector: Harprit Mattu <br /> * Inspection Date: 3/20/2017 <br /> * Time In 1:50 PM <br /> * Time Out 2:15 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 /> https://secure.caIrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=247888&OrganizationTP ID=1308006&Inspection ID=&Inspected By=O&RegE... 114 <br />