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5/26/2017 Survey&Inspection Report-Survey Form(Page 1) <br /> Waste Tire Management <br /> System 3.86.0067 Authorized Use Only <br /> Hlde'Survey Form (Page 1): Belkorp AG (TPID:1833847) <br /> L_ Report is in SUBMITTED status - CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A - Survey <br /> Create PDF from Email Inspection To Facility Operator EA Inspection Form Number: IW- <br /> this Inspection Emailed on 5/26/2017 1055644 <br /> electronic survey (or)en Documents tab) <br /> * TPID - Site Suffix: 1833847 - 01 <br /> Found in Database <br /> Belkorp AG <br /> 1120 W Charter Way <br /> Stockton, CA 95206 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Tom Corralez Title: Store Manager <br /> * EE Tire Count: 212 <br /> Latitude: ° Longitude: <br /> * Inspection Type: f Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> -......... <br /> - <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 5/22/2017 <br /> * Time In 10:17 AM <br /> * Time Out 10:38 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger Generator a Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> V 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 /> Other Business Type Other: Farm Equipment Supplier <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> https://secure.calrecycle.ca.govM/TMS/Inspection/Survey.aspx?Survey[D=252863&OrganizationTPID=1833847&Inspection]D=&InspectedBy=O&RegE... 1/4 <br />