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EHD Program Facility Records by Street Name
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4700 - Waste Tire Program
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PR0536616
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COMPLIANCE INFO
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Entry Properties
Last modified
6/3/2020 4:29:29 PM
Creation date
6/3/2020 3:00:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536616
PE
4740
FACILITY_ID
FA0009920
FACILITY_NAME
UNION PLANING MILL
STREET_NUMBER
735
Direction
S
STREET_NAME
SUTTER
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14722009
CURRENT_STATUS
02
SITE_LOCATION
735 S SUTTER ST
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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Waste Tire Survey & Inspection Report Inspection Report Number ■ <br /> Cal Rec cle State of California <br /> Y CalRecycle 181(Rev.10/10) I1 - 117 6 <br /> Dept.of Resources Recycling and Recovery(CalRecycle) Survey Form - Page 1 <br /> BLUE OR BLACK INK PEN <br /> Part A-- Survey <br /> iness Profile Inspection Details <br /> i PID- r Inspection Type(Fill one) <br /> Site Suffix: ` 15 0 ; J � l V ( ® Routine Q Re-inspection Q Referral Q Observation <br /> Local l If Referral,choose referral type(Fill one) <br /> Identifier: 1 l/ Q CHP Q CalRecycle Q Complaint Q Educational Visit Q Other <br /> Business or Facility Name Inspected By Inspector <br /> PhysicalAddress <br /> w� GLllll�t 1 �l �� l "j'�ZJ7��.> G"� ►C(/j�� <br /> Inspection Date G.'1 � � ••7 / <br /> ��UC.�� �✓L Yl � I <br /> Time In Time Out <br /> Business Rep Title �. O AM O AM <br /> ( Z PM J C/ O PM <br /> Operational Status Tire Type Business Role Storage Type <br /> Tire Count(Whole/PTE) (Fill one only) (Fill all that apply) (Fill all that apply) (Fill all that apply) <br /> Q Active Q Passenger ® Generator Q Outdoor <br /> 444 <br /> GPS Latitude ® Closed Q Altered Q Hauler Q Indoor <br /> 0 Q Inactive Q Truck <br /> Longitude — Q Planned Q OTR Q End-Use Q Container <br /> Business Type(Fill all that apply) <br /> r 1 New Tire Dealer Q Auto Repair Q Trucking Fleet Q Government Q Retreader Q Dismantler Q Tire Derived Fuel <br /> Used Tire Dealer Q Auto Body Q Car Dealer Q Collection Q Crumb Rubber <br /> Q Service Station Q Hauler Q Agriculture Q Shredder Other ClG� L <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility ENFORCEMENT STATUS <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> Q Q PRC§4 - Q Notice Of Violation Q Extension <br /> 2951 Waste Tire Hauler Registration and Transport of Tires <br /> Q Q PRC§42953-Contracts with Registered Waste Tire Haulers. Compliance Deadline <br /> Q Q PRC§42956-Registration/Decal in Vehicle <br /> QQ 14 CCR§18459-Responsible Entities Complying with Manifesting Requirements Date m / m / m <br /> cli <br /> Q Q 14 CCR§18459.1 -Tire Program ID Number from CalRecycle <br /> Q Q 14 CCR§18459.2.1 -Submittal of Comprehensive Trip Logs within 90 days (Required for NOV or EXE n <br /> Q Q 14 CCR§18459.3-Retention of Comprehensive Trip Logs for 3 years o <br /> Q Q 14 CCR§18460.2-Manifest System Requirements for Registered Waste Tire Haulers Q Referred/CalRecycle Enforcement <br /> 2 <br /> Lu <br /> Q Q 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities <br /> Q Q 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators OR In Compliance-No Violations o <br /> Q Q Other:§ <br /> Comments <br /> ...spection Form Included: Q <br /> Comments Included: ® ^V6 e <br /> Business Rep's Signature Phone Number4EX <br /> od i a re Phone Number <br /> 62081 <br /> INSTRUCTIONS ON BACK Correct:0 Incorrect: .MWW E1 Z 3 <br /> ■ White Copy:CalRecycle Yellow Copy:Operator Pink Copy:LEA © ■ <br />
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