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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): Raley's 311 (TPID:1830776) <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 I Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 3/7/2017 1051640 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1830776 - 01 <br /> Found in Database <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 L <br /> * M 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 Count- <br /> * Inspector: Lor Xiong _ <br /> * Inspection Date: 3/2/2017 <br /> * Time In 10:45 AM <br /> * Time Out 11:05 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger J 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 Retreader <br /> Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station Trucking Fleet Collection L Dismantler <br /> Auto Repair Car Dealer Shredder F_ Tire Derived Fuel <br /> V Other Business Type Other: Grocery Store <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=246858&Organi... 3/7/2017 <br />