Laserfiche WebLink
Survey & Inspection Report - S>>rvey 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): Reliance Intermodal Inc (TPID:1772339) <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 fromEmail Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/2/2016 1042100 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1772339 - 01 <br /> Found in Database <br /> Reliance Intermodal Inc <br /> 1919 E Dr Martin Luther King Jr Blvd <br /> Stockton, CA 95205-7055 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Cynthia Hickman Title: Manager <br /> * 0 Tire Count: 55 <br /> Latitude: 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: 7/29/2016 <br /> * Time In 2:50 PM <br /> * Time Out 3:05 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ❑ Passenger ❑] Generator ❑Z Outdoor <br /> Closed <br /> eInactive ❑Altered El Hauler ❑ Indoor <br /> Planned R 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?SurveylD=236471&Organi... 8/2/2016 <br />