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SR0077004
EnvironmentalHealth
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4700 - Waste Tire Program
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SR0077004
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SR0077004
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Entry Properties
Last modified
5/14/2020 2:10:35 PM
Creation date
5/14/2020 1:49:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
RECORD_ID
SR0077004
PE
4740
STREET_NUMBER
28522
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
GALT
Zip
95632
APN
00522001
ENTERED_DATE
3/22/2017 12:00:00 AM
SITE_LOCATION
28522 N CHEROKEE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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CField
Tags
EHD - Public
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`Survey & Inspection Report - Survey 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):Jeff and Tim Barsetti (TPID:1816512) <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 this n Email Inspection To Facility Operator RE1 Inspection Form Number: IW-1052264 <br /> electronic survey <br /> * TPID - Site Suffix: 1816512 <br /> Found in Database <br /> Jeff and Tim Barsetti <br /> 28522 N Cherokee Ln <br /> Galt, CA 95632 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Title: <br /> * IN Tire Count: p <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 County V <br /> * Inspector: Lor Xionq V <br /> * Inspection Date: 3/14/2017 <br /> * Time In 12:50 PM <br /> * Time Out 1:05 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 _._i 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: Residence <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=247482&0rga... 3/16/2017 <br />
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