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Survey & Inspection Report -tey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0054 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): UNITED PARCEL SERVICE (TPID:1326792) <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 n Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 10/13/2016 1045834 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1326792 - 01 <br /> Found in Database <br /> UNITED PARCEL SERVICE <br /> 1532 N Broadway Ave <br /> Stockton, CA 95205-3045 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Derrick Avilez Title: Power Mechanic <br /> * 171 Tire Count: 22 <br /> Latitude: Longitude: <br /> * Inspection Type: Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By:1 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong V <br /> * Inspection Date: 10/13/2016 22 <br /> * Time In 11:15 AM <br /> * Time Out 11:55 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger V Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned V 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 V 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=241043&0rg... 10/13/2016 <br />