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Survey & Inspection Report 7&vey Form (Page 1) is <br /> Page 1 of 3 <br /> AuthorizedWaste Tire Management <br /> System 3.86.0057 Use Only Home I Reports <br /> Hide Survey Form (Page 1): Gearheads Motorcycle Shop(TPID:1711572) <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 Email Inspection To Facility Operator IE Inspection Form Number: IW- <br /> this Inspection Emailed on 12/27/2016 1048571 <br /> electronic survey (oxen Documents tab) <br /> * TPID - Site Suffix: 1711572 - 01 <br /> Found in Database <br /> Gearheads Motorcycle Shop <br /> 2335 W Yosemite Ave <br /> Manteca, CA 95337-8332 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Sam Sweeten Title: Owner <br /> * I]Tire Count: 19 <br /> Latitude: ` Longitude: <br /> * Inspection Type:[1 Routine❑ Re-inspection❑ Referral ❑Observation❑ Educational <br /> If referral, referral type:❑ CHP 0 CalRecycle ❑Complaint ❑Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: gen Escotto —] <br /> * Inspection Date: 12/20/2016 <br /> * Time In <br /> 10.30 AM . <br /> * Time Out 1 + <br /> 10.45 AM <br /> Operation Status Tire Type Business Role Storage Type <br /> Active ❑Passenger [[1 Generator Outdoor <br /> ❑Closed ❑Altered <br /> Indoor <br /> ®Inactive ❑Hauler ❑ <br /> Planned [_1 Truck ❑End-Use ® Container <br /> L-,,]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: Motorcycle Repair <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=243 790&0rg... 12/27/2016 <br />