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Survey & Inspection Report frey 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): Avatar Tires(TPID:1712419) <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 [D Inspection Form Number: IW-1052209 <br /> electronic survey <br /> * TPID - Site Suffix: 1712419 - 01 <br /> Found in Database <br /> Avatar Tires <br /> 3120 N Wilson Way <br /> Stockton, CA 95205-2513 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Oscar Carillo Title: Manager <br /> * M Tire Count: 110 <br /> Latitude: Longitude: o <br /> * Inspection Type:0 Routine❑ Re-inspection❑ Referral ❑Observation I Educational <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑ Complaint ❑Other <br /> Inspected By: 39-101 San Joaquin County V <br /> * Inspector: Ben Escotto <br /> * Inspection Date: 3/13/2017 <br /> * Time In 2:05 PM <br /> * Time Out 2:30 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Q Active Passenger n,1 Generator Outdoor <br /> 8 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 ❑ Dismantler <br /> ❑Auto Repair ❑Car Dealer ❑Shredder ❑Tire Derived Fuel <br /> ❑Other Business Type Other: <br /> Part B Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=247427&0rga... 3/14/2017 <br />