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2450
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4700 - Waste Tire Program
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PR0527994
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COMPLIANCE INFO
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Entry Properties
Last modified
3/16/2020 11:44:32 PM
Creation date
3/16/2020 3:26:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0527994
PE
4740
FACILITY_ID
FA0018969
FACILITY_NAME
DUB CUSTOM TIRES & WHEELS
STREET_NUMBER
2450
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14128221
CURRENT_STATUS
02
SITE_LOCATION
2450 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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CField
Tags
EHD - Public
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Waste Tire SL ey & Inspection Report Inspection Report Number ■ <br /> CalRecycle State of California 11 - 1177599 <br /> CalRecycle 181(Rev. (Cal Survey Form - Page 1 <br /> Dept.of Resources Recycling and Recovery(CalRecycle) <br /> Part A- Survey BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection Type(Fill one) <br /> Site Suffix: �j 5 o S ` 1 • Routine Q Re-inspection Q Referral Q Observation <br /> Local If Referral,choose referral type(Fill one) <br /> Identifier: SpLh V 00.qy�y� CO V V\V'-/ Q CHP Q CalRecycle Q Complaint Q Educational Visit Q Other <br /> Business or Facility Name • Inspected By Inspector <br /> Physical Address ,3 9 1 0 ' M a�� <br /> 2`A5o 'E. W'�- 1ao lz6' <br /> Inspection Date Z � d -7 / <br /> S �n��-�,h 6,k952—C6 <br /> Time In Time Out <br /> Business Rep \n <br /> Titled 0 AM C 0 AM <br /> �� ,I'n�C�S �10.�. (/ W V'�2.'� � S � � PM 2^ � ✓ � PM <br /> Operational Status Tire Type Business Role Storage Type <br /> Tire Count(Whole/PTE) -2, (Fill one only) (Fill all that apply) (Fill all that apply) (Fill all that apply) <br /> 0 Active ® Passenger 46 Generator ® Outdoor <br /> O Q Closed Q Altered <br /> GPS Latitude Q Hauler Q Indoor <br /> O Q Inactive Q Truck <br /> Longitude - Q Planned Q OTR Q End-Use Q Container <br /> Business Type(Fill all that apply) <br /> New Tire Dealer Q Auto Repair Q Trucking Fleet Q Government Q Retreader Q Dismantler Q Tire Derived Fuel <br /> Used Tire Dealer Q Auto Body Q Car Dealer Q Collection Q Crumb Rubber <br /> Q Service Station Q Hauler Q Agriculture Q Shredder Q Other <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility ENFORCEMENT STATUS <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> Notice Of Violation Q Extension <br /> Q Q PRC§42951 -Waste Tire Hauler Registration and Transport of Tires <br /> Q Q PRC§42953-Contracts with Registered Waste Tire Haulers. Compliance Deadline <br /> Q Q PRC§42956-Registration/Decal in Vehicle <br /> Q Q 14 CCR§18459-Responsible Entities Complying with Manifesting Requirements Date M / M' , 1 3 <br /> Q 14 CCR§18459.1 -Tire Program ID Number from CalRecycle <br /> Q Q 14 CCR§18459.2.1 -Submittal of Comprehensive Trip Logs within 90 days (Required for NOV or EXT) N <br /> r <br /> Q Q 14 CCR§18459.3-Retention of Comprehensive Trip Logs for 3 years o <br /> Q Q 14 CCR§18460.2-Manifest System Requirements for Registered Waste Tire Haulers Q Referred/CalRecycle Enforcement <br /> Q Q 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities w <br /> Q Q 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators Q In Compliance-No Violations o <br /> Q Q Other:§ 1 1 <br /> Comments Q Ori Thi S <br /> Inspection Form Included: Q <br /> Comments Included:. <br /> �Id- 735 � Zrft-�lbF-3Z$ H <br /> Busi s Rep's Signature Phone Number Inspe is Signature Phone Number <br /> INSTRUCTIONS ON BACK Correct:• Incorrect: �( E X A M P L E 1�2 3 62081 <br /> ■ White Copy:CalRecycle Yellow Copy:Operator Pink Copy:LEA © ■ <br />
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