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Survey & Inspection Report - F -vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.56.0051 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Masonite (TPID:1453027) <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 from n Email Inspection To Facility Operator D Inspection Form Number: IW- <br /> this Inspection Emailed on 8/18/2016 1042749 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1453027 - 01 <br /> Found in Database <br /> Masonite <br /> 433 W Scotts Ave <br /> Stockton, CA 95203-3320 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Mark Valadez Title: EHS Regional Manager <br /> * 71 Tire Count: 0 <br /> Latitude: ` Longitude: <br /> * Inspection Type: Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle Complaint Educational Visit Other <br /> Inspected By: 01 Sa � :_. _ruin _1 f, v <br /> * Inspector: -iarprit fla l <br /> * Inspection Date: 8/11/2016 <br /> * Time In 11:40 AM <br /> * Time Out 1:00 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 /> V Other Business Type Other: Manufacturer (Door) <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=237471&0rga... 8/18/2016 <br />