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Survey & Inspection Report - Survey Form (Page 1) Page 1 of 2 <br /> Waste Tire Management <br /> System 3.86.0049 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide urvey Form (Page 1): CB Tires (Residential) (TPID:1788296) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is <br /> pending. <br /> Part A - Survey <br /> Paper Form Details OnEmail Inspection To Facility Operator M Inspection Form Number: I1-1255847 <br /> * TPID - Site Suffix: 1788296 - 01 <br /> Found in Database <br /> CB Tires (Residential) <br /> 640 Mingo Way <br /> Lathrop, CA 95330-9540 <br /> Local Identifier: <br /> Business Rep: Title: <br /> * 0 Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type:❑Z Routine❑ Re-inspection❑ Referral ❑Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑ Complaint❑ Educational Visit ❑Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: Harprit Mattu <br /> * Inspection Date: 6/28/2016 <br /> * Time In 1:2S PM <br /> * Time Out 1:55 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> 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 /> ❑Other Business Type Other: residence <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=235215&0rga... 7/11/2016 <br />