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5/17/2017 Survey&Inspection Report-Survey Form(F ) <br /> Waste Tire Management <br /> System 3.86,0067 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): M8J Road Service(TPID:1552892) <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 this F-h Email Insoection To Facilitv Ooerator 0 Inspection Form Number: IW-1055260 <br /> electronic survey <br /> * TPID - Site Suffix: 1552892 - 01 <br /> Found in Database <br /> M&J Road Service <br /> 11401 S Harlan Rd <br /> Lathrop, CA 95330-8704 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Title: <br /> * D Tire Count: U <br /> Latitude: ° Longitude: <br /> _ ......_ ............. _._.... ...... <br /> * Inspection Type: ✓ Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> _ - _ ..........__......_ ......_.... ......- <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: I Lor Xiong <br /> * Inspection Date: 5/15/2017 aaj <br /> * Time In 10:14 AM <br /> * Time Out 10:33 AM <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: Mobile Tire Service <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 /> PRC § 42956 - Hauler Registration/Decal in Vehicle <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=252479&0rganizationTPID=1552892&lnspectionlD=&InspectedBy=O&RegE... '1/4 <br />