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CalRecyoRaley'scleSurvey & Inspection Report - Survey Form (Page 1) <br /> #445 (TPID: 1830841) <br /> State of California CalRecycle 181 <br /> Part A-Survey <br /> Inspection Form Number: IW-1053427 Inspected On: 4/11/2017 12:47PM -01:28PM <br /> TPID -Site Suffix: 1830841-01 <br /> Facility Address <br /> Raley's#445 <br /> 311 S Lower Sacramento Rd <br /> Lodi, CA 95242 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Jacki Roth Title: Store Director <br /> Tire Count: 0 <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: <br /> Business Role: <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 />