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Survey & Inspection Report - Survey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0063 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Raley's#445 (TPID:1830841) <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 rj Email Inspection To Facility Operator D Inspection Form Number: IW- <br /> this Inspection Emailed on 4/19/2017 1053427 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1830841 - 01 <br /> Found in Database <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 /> * M Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle LJ Complaint D Other <br /> Inspected By: 39-101 San Joaquin County V <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 4/11/2017 <br /> * Time In 12:47 PM <br /> * Time Out 1:28 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active Passenger 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 Dismantler <br /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> V Other Business Type Other: Grocery Store <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=248645&0rga... 4/19/2017 <br />