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1/30/2017 Survey&Inspection Report-Survey Form(Pa--1) <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1):City of Tracy(TPID:1100094) <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 04Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this LLJ Inspection Emailed on 1/30/2017 1049971 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1100094 - 01 <br /> Found in Database <br /> City of Tracy <br /> 520 N Tracy Blvd <br /> Tracy, CA 95376-4917 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Frank Desousa Title: Senior Equipment Manager <br /> * EE Tire Count: 63 <br /> Latitude: ° 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 /> ----..._...._._._.-_.....__........... <br /> * Inspector: I Harprit Mattupp • <br /> * Inspection Date: 1/18/2017 2M <br /> * Time In 10:35 AM <br /> * Time Out 11:00 AM <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 /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=245191&OrganizationTPID=1100094&lnspectionID=&InspectedBy=O&RegE... 1/4 <br />