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CalRecyoRaley'scleSurvey & Inspection Report - Survey Form (Page 1) <br /> 311 (TPID: 1830776) <br /> State of California CalRecycle 181 <br /> Part A-Survey <br /> Inspection Form Number: IW-1051640 Inspected On: 3/2/2017 10:45AM - 11:05AM <br /> TPID -Site Suffix: 1830776-01 <br /> Facility Address <br /> Raley's 311 <br /> 1280 Lathrop Rd <br /> Manteca, CA 95336 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Kevin Lee Title: Assistant Store Team <br /> Tire Count: 0 Leader <br /> Lattitude: Longitude: <br /> Inspection Type: Routine <br /> Referral Type: <br /> Inspected By: 39-101 San Joaquin County <br /> Inspector: Lor Xiong <br /> Operational Status: Active <br /> Tire Type: OTR <br /> Business Role: Generator <br /> Storage Type: <br /> Business Type: Other <br /> Business Type Other: Grocery Store <br /> Part B -Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> VA Hauling Manifest Requirements <br /> A 14 CCR§ 18459.1(a)(b)(c)-Tire Program ID Number and Certificate from CalRecycle <br /> Enforcement Status: In Compliance <br /> Compliance Deadline: <br />