My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
>
EHD Program Facility Records by Street Name
>
H
>
HUNTER
>
240
>
4700 - Waste Tire Program
>
PR0522405
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/14/2020 1:41:34 PM
Creation date
4/14/2020 11:11:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522405
PE
4740
FACILITY_ID
FA0009362
FACILITY_NAME
JFD RETYRE INC
STREET_NUMBER
240
Direction
N
STREET_NAME
HUNTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13913002
CURRENT_STATUS
02
SITE_LOCATION
240 N HUNTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
CField
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
27
PDF
View images
View plain text
Waste Tire Su^ & Inspection Report ispection Report Number <br /> State of California <br /> $rte CIWMB 181( e ) Survey Form - Page 1 I1 - 1141164 <br /> California Integrated WasttManagement <br /> Waste Management Board <br /> Part A- Survey BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- C Inspection Type (Fill one) <br /> Site Suffix: ' _ y _J 3 �� - ' 0 Routine Q Re-inspection Q Referral Q Observation <br /> Local If Referral,choose referral type(Fill one) <br /> Identifier: C G\C��J 1\ �t,L t l Q CHP Q CIWMB Q Complaint Q Educational Visit Q Other <br /> Business or Facility Name <br /> Inspected By Inspector <br /> Physical AddressJ"��1C�, �C;) •_�,1_� `, f 'v J 2 - - <br /> ( l.J ! 1 � /"1 �J L y�) �(...� f�(r C 1 t� I ►JL I l� <br /> Vis__ - - <br /> ��— - --_........ <br /> Jtr2af <br /> Inspection Date C C <br /> _-,�_�- <br /> 5tate �Jp Code Time In _ Time Out <br /> P M _.._._I�. ... <br /> u _.. <br /> Business Rep Title j � �— O AM � �AM <br /> . i Q PM <br /> Operational Status Tire Type Business Role Storage Type <br /> Tire Count(Whole/PTS} (Fill one only) (Fill all that apply) (Fill all that apply) (Fill all that apply) <br /> `� ®Active Q Passenger Q Generator Q Outdoor <br /> Q Closed Q Altered <br /> GPS Latitude � Q Hauler Q Indoor <br /> O Q Inactive Q Truck <br /> Longitude — Q Planned Q OTR O End-Use Q Container <br /> Business Type (Fill all that apply) <br /> Q New Tire Dealer Q Auto Repair Q Trucking Fleet Q Government Q Retreader Q Dismantler Q Tire Derived Fuel <br /> Q 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 /> i <br /> O O PRC§HAULING AN51 -\D aste MANI eEHauleST Rr R�egisRa MEN dS Transport of Tires Q Notice Of Violation Q Extension <br /> Q Q PRC§42953-Contracts with Registered Waste Tire Haulers. Compliance Deadline <br /> Q Q PRC§42956-Registration/Decal in Vehicle <br /> Q O 14 CCR§18459 -Responsible Entities Complying with Manifesting Requirements Date m / m / m <br /> Q O 14 CCR§18459.1 -Tire Program ID Number from CIWMB <br /> O O 14 CCR§18459.2.1 -Submittal of Comprehensive Trip <br /> within 90 days <br /> (Required for NOV or EXT) <br /> O O 14 CCR§ 18459.3-Retention of Comprehensive Tri o for 3 years <br /> Q O 14 CCR§ 18460.2-Manifest System Requirements for Registered Waste Tire Haulers Q Referred/CIWMB Enforcement <br /> Q O 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities _ <br /> Q O 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators Q In Compliance - No Violations <br /> O O Other: § - <br /> CommentsAX <br /> - <br /> ,1 <br /> Inspection Form Included: Q <br /> Comments Included: Q -- <br /> Business Rep's Signature Phone Number Inspector's Signature Phone Number <br /> INSTRUCTIONS ON BACK Correct: Incorrect: X E X A M L 1 E � ! 213 i 62081 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
The URL can be used to link to this page
Your browser does not support the video tag.
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).