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Survey & Inspection Report- Survey Form (Page 1) Page 1 of 2 <br /> Waste Tire Management <br /> System 3.86.0050 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide urvey Form (Page 1): Antonini Enterprises LLC(TPID:1746374) <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 0 Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 7/29/2016 1041909 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1746374 - 01 <br /> Found in Database <br /> Antonini Enterprises LLC <br /> 701 Darcy Pkwy <br /> Lathrop, CA 95330-8755 <br /> Local Identifier: San Joaquin County <br /> Business Rep:John Arias Title: Maintenance Manager <br /> * M Tire Count: 22 <br /> Latitude: o Longitude: <br /> * Inspection Type:❑Z 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: Harprit Mattu <br /> * Inspection Date: 7/26/2016 <br /> * Time In 2:20 PM <br /> * Time Out 2:50 PM -� <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ❑ Passenger ❑] Generator R]Outdoor <br /> Closed ❑Altered ❑ Hauler ❑] Indoor <br /> HInactive <br /> Planned 2 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: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=236250&0rga... 7/29/2016 <br />