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Survey & Inspection Report - S vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.00S8 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1):Izzy's World of Tires (TPID:1821269) <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 n Email Inspection To Facilitv Operator I]Inspection Form Number: IW- <br /> this Inspection Emailed on 1/11/2017 1049259 <br /> electronic survey (open Documents tab) <br /> * TPID -Site Suffix: 1821269 - 01 <br /> Found in Database <br /> Izzy's World of Tires <br /> 14090 Alpine Rd <br /> Lodi, CA 95240 <br /> Local Identifier:San Joaquin County <br /> Business Rep: Hugo Izaguirre Title: Owner <br /> * M Tire Count: 212 <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 <br /> * Inspector: Lor Xiong —� <br /> * Inspection Date: 1/9/2017 <br /> * Time In 2:00 PM <br /> * Time Out 2:55 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active q Passenger V Generator V Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned 4 Truck End-Use Container <br /> I / OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture L, Retreader <br /> IUsed Tire Dealer V Hauler Government Crumb Rubber <br /> Service Station Trucking Fleet Collection [i Dismantler <br /> Auto Repair Car Dealer Shredder !Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244477&0rga... 1/11/2017 <br />