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Survey & Inspection Report - yvey Form (Page 1) •, Page 1 of 2 <br /> Waste Tire Management <br /> System 3.86.0049 Authorized Use Only Home I Reports I Help I Sign Out <br /> ide <br /> H <br /> urvey Form (Page 1): Salvation Army(TPID:1770742) <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 /> Paper Form Details Email Inspection To Facility Operator 0 Inspection Form Number: I1-1255857 <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: <br /> Business Rep: Title: <br /> * 0 Tire Count: 3 <br /> Latitude: o Longitude: <br /> * Inspection Type:R Routine❑ Re-inspection❑ Referral❑Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑ Complaint❑ Educational Visit ❑Other <br /> Inspected By: 39-101 San Joaquin County J <br /> * Inspector:IHarprit Mattu V <br /> * Inspection Date: 7/1/2016 <br /> * Time In 10:55 AM <br /> * Time Out 11:15 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active R Passenger ❑] Generator Q 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 ❑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: donation center <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=23 5960&Orga... 7/19/2016 <br />