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Survey & Inspection Report #ey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0063 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): California State Parks-Twin Cities District/Carnegie SVRA (TPID:1432807) <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 [fl Inspection Form Number: IW- <br /> this Inspection Emailed on 4/25/2017 1054013 <br /> electronic survey (open Documents tabs <br /> * TPID - Site Suffix: 1432807 - 01 <br /> Found in Database <br /> California State Parks- Twin Cities District/Carnegie SVRA <br /> 18600 Corral Hollow Road <br /> Tracy, CA 95377 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Dale A. Tidwell Title. Park Maintenance Chief <br /> * 0 Tire Count: 160 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral F-I Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint [_' Other <br /> Inspected By: 39-101 Sari Joaquin County u <br /> * Inspector: Lor Xiong <br /> * Inspection Date:4/24/2017 <br /> ___-_..._____...... <br /> * Time In 11:13 AM <br /> * Time Out 12:24 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger ./ Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck End-Use Container <br /> q OTR <br /> Business Type: <br /> L_ New Tire Dealer (.J Auto Body Agriculture Retreader <br /> [.__! Used Tire Dealer Hauler Government Crumb Rubber <br /> Service Station ❑Trucking Fleet Collection Dismantler <br /> EJ Auto Repair Car Dealer Shredder i Tire Derived Fuel <br /> Other Business Type Other: Recreation Vehicle <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=249230&0rga... 4/25/2017 <br />