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Survey & Inspection Report - "-•rvey Form (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): Izzy's World of Tires (TPID:1811547) <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 /> Paper Form Details'n Email Inspection To Facility Operator 1E Inspection Form Number: I1-1255859 <br /> * TPID - Site Suffix: 1811547 - 01 <br /> Found in Database <br /> Izzy's World of Tires <br /> 14090 Alpine Rd <br /> Lodi, CA 95240 <br /> Local Identifier: <br /> Business Rep: Title: <br /> * R]Tire Count: 0 <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:I Harprit Mattu L . <br /> * Inspection Date: 6/17/2016 <br /> * Time In 11:50 AM <br /> * Time Out 12:10 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active ❑ Passenger ❑ Generator ❑ Outdoor <br /> Closed <br /> F-1 Inactive ❑Altered El Hauler ❑ Indoor <br /> ❑ Planned ❑Truck ❑ End-Use ❑ Container <br /> ❑ OTR <br /> Business Type: <br /> ❑ New Tire Dealer ❑Auto Body ❑Agriculture ❑ Retreader <br /> ❑ Used Tire Dealer R 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: residence <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=235392&0rga... 7/13/2016 <br />