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Survey & Inspection Report - ° vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0064 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): East Bay Municipal Utility District(TPID:1296657) <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 21 Inspection Form Number: IW- <br /> this Inspection Emailed on 5/1/2017 1054277 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1296657 - 01 <br /> Found in Database <br /> East Bay Municipal Utility District <br /> 1804 W Main St <br /> Stockton, CA 95203-2902 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Scott Busch Title: Heavy Equipment Mech <br /> * M Tire Count: 0 <br /> Latitude: o 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 V <br /> * Inspector: Lor Xiong _ <br /> * Inspection Date: 4/28/2017 <br /> * Time In 10:24 AM <br /> * Time Out 10:34 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger 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 [f Retreader <br /> Used Tire Dealer Hauler Government I_I 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?SurveyID=249493&Organi... 5/1/2017 <br />