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2/2/2017 • Survey&Inspection Report-Survey Form(Pae) <br /> Waste Tire Management <br /> Systema 3,86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> 11-1 Hide <br /> Survey Form (Page 1):California Tires&Wheels(TPID:1827453) <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 this Email Inspection To Facility Operator 0 Inspection Form Number: IW-1050172 <br /> electronic survey <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: San Joaquin County <br /> Business Rep: Mohammed Nabeel Title: Owner <br /> * Ifl Tire Count: 163 <br /> Latitude: o Longitude: <br /> * Inspection Type: Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin County • <br /> * Inspector: ! Harprit Mattu <br /> * Inspection Date: 7/8/2016 do <br /> * Time In 1:45 PM <br /> * Time Out 2:45 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 /> =' 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 /> 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 /> PRC § 42956 - Hauler Registration/Decal in Vehicle <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=245392&OrganizationTPID=1827453&lnspectionID=&lnspectedBy=O&Reg... 1/4 <br />