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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): Bob Ferguson (lx clean up) (TPID:1847188) <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 0 Email Inspection To Facility Operator E Inspection Form Number: IW-1052799 <br /> electronic survey <br /> * TPID - Site Suffix: 1847188 - 01 <br /> Found in Database <br /> Bob Ferguson (lx clean up) <br /> 14333 Clifton Court Road <br /> Stockton, CA 95206 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Title: <br /> * 21 Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 3/23/2017 <br /> * Time In 11:40 AM <br /> * Time Out 11:55 AM <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 CI Dismantler <br /> Auto Repair Car Dealer Shredder [Tire Derived Fuel <br /> v Other Business Type Other: Ranch <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=248017&0rga... 3/24/2017 <br />