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2/2/2017 Survey&Inspection Report-Survey Form(P ) <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): Salvation Army(TPID:1770742) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A- Survey <br /> Create PDF from this r1a Email Inspection To Facility Operator [B Inspection Form Number: IW-1050167 <br /> electronic survey Lu <br /> * TPID - Site Suffix: 1770742 - 01 <br /> Found in Database <br /> Salvation Army <br /> 1247 S Wilson Way <br /> Stockton, CA 95205-7036 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Marc Marceron Title: Director of Produce <br /> * 0 Tire Count: 3 <br /> Latitude: ° Longitude: <br /> * Inspection Type: ✓ Routine Re-inspection _ Referral l Observation Educational <br /> If referral, referral type: CHP CalRecycle I Complaint _} Other <br /> Inspected By: 39-101 San Joaquin County • <br /> * Inspector: I Harprit Mattu • <br /> * Inspection Date: 7/1/2016 <br /> * Time In 10:55 AM v� <br /> * Time Out 11:15 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ✓ Passenger V 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 d Agriculture Retreader <br /> Used Tire Dealer Hauler © Government Crumb Rubber <br /> Service Station Trucking Fleet EJ_ Collection Dismantler <br /> Auto Repair Car Dealer t ii Shredder Tire Derived Fuel <br /> ✓ Other Business Type Other: Donation Center <br /> Part B - Inspection of Waste Tire Dealer, Generator,and End-Use Facility <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> PRC § 42956 - Hauler Registration/Decal in Vehicle <br /> h.lps://secure.caIrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=245387&0rganizationTPID=1770742&lnspectionlD=&InspectedBy=O&Reg... 1/4 <br />