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Survey & Inspection Report Or vey Form (Page 1) 0 Page 1 of 3 <br />System 3.86.0058 Authorized Use Only Home I Reports I Nefp-l­—jt"'ut <br />Hide Survey Form (Page 1): Lodi Tire Service (TPID:1860146) <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 fromj Email Inspection To Facility Operator <br />0 Inspection Form Number: IW - <br />this Inspection Emailed on 1/13/2017 <br />1049286 <br />electronic survey (open Documents tab) <br />* TPID -Site Suffix: 1860146 - 01 <br />Found in Database <br />Lodi Tire Service <br />240 North Cherokee Lane <br />Lodi, CA 95240 <br />Local Identifier: San Joaquin County <br />Business Rep: Amy Lung Title: Manager <br />* 0 Tire Count: 320 <br />Latitude: Longitude: <br />o <br />* Inspection Type: / Routine Re -inspection Referral Observation Educational <br />If referral, referral type: CHP CalRecycle Complaint Other <br />Inspected By: 39-101. Sari Joaquin Count,,' s/ <br />* Inspector: Ben E sotto <br />* Inspection Date: 1/10/2017 <br />*Time In 2:15 PM <br />*Time Out 2:40 PM <br />* Operation Status Tire Type Business Role <br />Storage Type <br />Active Passenger Generator <br />Outdoor <br />Closed Altered Hauler <br />Indoor <br />Inactive <br />Planned �/ Truck End -Use <br />/ 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/InspectionISurvey.aspx?SurveyID=244504&Orga... 1/13/2017 <br />