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Survey & Inspection Report - `' -fey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0058 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 U Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 2/1/2017 1050184 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: <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 /> * I]Tire Count: 212 <br /> Latitude: Longitude: <br /> * Inspection Type: -/ Routine Re-inspection Referral []Observation Educational <br /> If referral, referral type: CHP __ CalRecycle Complaint Other <br /> Inspected By: ?9-101 San Joaquin Cc, my <br /> * Inspector: Lor Xiong V I <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 /> 4/ Active Passenger -/ Generator Outdoor <br /> Closed Altered V Hauler Indoor <br /> Inactive <br /> Planned Truck / End-Use Container <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body I Agriculture Retreader <br /> Used Tire Dealer Hauler J Government Crumb Rubber <br /> Service Station Trucking Fleet Collection Dismantler <br /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> llttps://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245404&Organi... 2/1/2017 <br />