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5/22/2017 to Survey& Inspection Report-Survey Form <br /> Waste Tire Management <br /> System 3.86.0067 Authorized Use Only Home I Reports I Help I Sign Out <br /> HIde]survey Form (Page 1):Stockton Port District(TPID:1369754) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A- Survey <br /> Create PDF from Email Inspection To Facility Operator E21 Inspection Form Number: IW- <br /> this Inspection Emailed on 5/22/2017 1055337 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1369754 - 01 <br /> Found in Database <br /> Stockton Port District <br /> 2201 W Washington St <br /> Stockton, CA 95203-2942 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Rita L. Koehnen Title: Environmental Specialist <br /> * 0 Tire Count: g <br /> Latitude: ° Longitude: <br /> * Inspection Type: ,rl Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By 397101 San Joaquin County <br /> * Inspector: ' Lor Xiong <br /> * Inspection Date: 5/16/2017 <br /> * Time In 10:00 AM <br /> * Time Out 10:41 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ActivePassenger Generator _'' 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 Hauler Government Crumb Rubber <br /> Service Station Trucking Fleet Collection Dismantler <br /> Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> i J Other Business Type Other: Port District <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=252556&OrganizationTPID=1369754&InspectionlD=&InspectedBy=O&RegE... 1/4 <br />