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Survey & Inspection Report - ° vey Forni (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 /> Hide urvey Form (Page 1): T Automotive Services (TPID:1714058) <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 0 Email Inspection To Facility Operator M Inspection Form Number: IW-1041615 <br /> electronic survey <br /> * TPID - Site Suffix: 1714058 - 01 <br /> Found in Database <br /> T Automotive Services <br /> 1045 S Adelbert Ave <br /> Stockton, CA 95215-6707 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Title: <br /> * M Tire Count: 0 <br /> Latitude: o Longitude: <br /> * Inspection Type:0 Routine❑ Re-inspection❑ Referral ❑Observation <br /> If referral, referral type:❑ CHP❑ CalRecycle ❑ Complaint❑ Educational Visit ❑Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector:I Harprit Mattu <br /> * Inspection Date: 7/11/2016 <br /> * Time In 1:25 PM <br /> * Time Out 1:45 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ❑Active ❑ Passenger ❑Generator ❑ Outdoor <br /> eClosed ❑Altered ❑ Hauler ❑ Indoor <br /> Inactive <br /> ❑Planned ❑Truck ❑ End-Use ❑Container <br /> ❑ OTR <br /> Business Type: <br /> F/I New Tire Dealer ❑Auto Body ❑Agriculture ❑ Retreader <br /> 0 Used Tire Dealer❑ Hauler ❑Government❑ Crumb Rubber <br /> ❑ Service Station ❑Trucking Fleet❑Collection ❑ Dismantler <br /> 0 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://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=235945&0rga... 7/19/2016 <br />