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2/10/2017 Survey&Inspection Report-Survey Form(F I <br /> Waste Tire Management <br /> System 3.86.0061 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hlde Survey Form (Page 1): MAXIM CRANE (TPID:1370018) <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 D Inspection Form Number: IW- <br /> this Inspection Emailed on 2/10/2017 1050609 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1370018 - 01 <br /> Found in Database <br /> MAXIM CRANE <br /> 2373 E Mariposa Rd <br /> Stockton, CA 95205-7811 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Darryl Prost Title: Northern California Service <br /> * 0 Tire Count: 40 <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: 2/1/2017 RM <br /> * Time In 2.35 PM <br /> A Time Out 3:10 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 /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=245828&0rganizationTPID=1370018&lnspectionlD=&InspectedBy=O&Reg... 1/4 <br />