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Survey &Inspection Report-6vey Form (Page 1) 40 Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): PK Tire&Wheel Inc(TPID:1746537) <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 07 Email Inspection To Facility Operator D Inspection Form Number: IW- <br /> this Inspection Emailed on 12/20/2016 1048452 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1746537 - 01 <br /> Found in Database <br /> PK Tire &Wheel Inc <br /> 1546 Pacific Ave <br /> Stockton, CA 95204-5721 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Mohammad Ahmed Title: President <br /> * M Tire Count: 20 <br /> Latitude: o Longitude: <br /> * Inspection Type: %/ Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County <br /> * Inspector: Lor Xiong u� <br /> * Inspection Date: 12/16/2016 <br /> * Time In 1:45 PM <br /> * Time Out 2:00 PIVI <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active 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 C Hauler L_�Government Crumb Rubber <br /> Service Station C Trucking Fleet F1 Collection Dismantler <br /> Auto Repair ❑ Car Dealer n Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243 671&0rg... 12/20/2016 <br />