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Survey & Inspection Report - `'--rvey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System :3.86.0062 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): USG Interiors Inc(TPID:1613194) <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 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 3/16/2017 1052201 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1613194 - 01 <br /> Found in Database <br /> USG Interiors Inc <br /> 2575 Loomis Rd <br /> Stockton, CA 95205-8045 <br /> Local Identifier: San Joaquin County <br /> Business Rep: John Wesley Title: Plant Manager <br /> * 0 Tire Count: 0 <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 u <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 3/13/2017 <br /> * Time In 10:10 AM <br /> * Time Out 11:10 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger q 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 L. Retreader <br /> Used Tire Dealer Hauler Government E. Crumb Rubber <br /> Service Station Trucking Fleet Collection [J Dismantler <br /> Auto Repair Car Dealer Shredder ❑Tire Derived Fuel <br /> Other Business Type Other: Ceiling Grid Manufacturer <br /> https://sec.ure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=247419&0rga... 3/16/2017 <br />