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5/2/2017 Survey&Inspection Report-Survey Form(P I <br /> Waste Tire Management <br /> System 3.$6.0064 Authorized Use Oni} Home I Reports I Help I Sign Out <br /> Hlde Survey Form (Page 1):The Salvation Army(TPID:1718223) <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 Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 5/2/2017 1054479 <br /> electronic survey (or)en Documents tab) <br /> * TPID - Site Suffix: 1718223 - 01 <br /> Found in Database <br /> The 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 Production <br /> * 0 Tire Count: p <br /> Latitude: ° Longitude: ° <br /> * Inspection Type: : Routine Re-inspection _._1 Referral t_' Observation 4 Educational <br /> If referral, referral type: CHP I CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County V <br /> * Inspector: I Harprit Mattu l O� <br /> * Inspection Date:4/19/2017 <br /> * Time In 10:35 AM <br /> * Time Out 10:55 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active 0 Passenger 0 Generator (:3 Outdoor <br /> �J Closed 0 Altered 0 Hauler <br /> Inactive � Indoor <br /> 0 <br /> Planned Truck 0 End-Use Container <br /> O OTR <br /> Business Type: <br /> New Tire Dealer CI Auto Body Agriculture Retreader <br /> Used Tire Dealer E j Hauler __J Government Crumb Rubber <br /> Service Station 0 Trucking Fleet l__j Collection Dismantler <br /> Auto Repair D Car Dealer A 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 /> https://secure.caI recycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=249695&Org anizationTPID=1718223&Inspection ID=&InspectedBy=O&Reg E... 1/4 <br />