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Survey & Inspection Report - `—vey Fonn (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): California Tires&Wheels (TPID:1827453) <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 " Email Inspection To Facility Operator M Inspection Form Number: I1-1255861 <br /> * TPID - Site Suffix: 1827453 - 01 <br /> Found in Database <br /> California Tires &Wheels <br /> 707 S Cherokee Ln <br /> Lodi, CA 95240 <br /> Local Identifier: <br /> Business Rep: Title: <br /> * M Tire Count: 163 <br /> Latitude: o 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 i <br /> * Inspection Date: 7/8/2016 <br /> * Time In 1:45 PM <br /> * Time Out 245 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger Generator Outdoor <br /> Closed ❑Altered <br /> F1 Inactive ❑ Hauler Indoor <br /> ❑ Planned Truck ❑ End-Use ❑ Container <br /> 0 OTR <br /> Business Type: <br /> n New Tire Dealer ❑Auto Body ❑Agriculture ❑ Retreader <br /> W 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 /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=235957&0rga... 7/19/2016 <br />