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Survey & Inspection Report - - -vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Genie(TPID:1649808) <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 In Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 1/20/2017 1049601 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1649808 - 01 <br /> Found in Database <br /> Genie <br /> 2610 Lycoming St <br /> Stockton, CA 95206-4916 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Jay Peterson Title: Customer Service Mane <br /> * M Tire Count: p <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 Courty <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 1/18/2017 <br /> * Time In 10:20 AM <br /> * Time Out 10:40 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 /> L, New Tire Dealer Auto Body Agriculture Retreader <br /> [' Used Tire Dealer Hauler Government Crumb Rubber <br /> [j Service Station Trucking Fleet Collection Dismantler <br /> ❑Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: Equipment Manufacturer <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244819&0rga... 1/20/2017 <br />