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Survey & Inspection Report - vey Form (Page 1) Page 1 of 2 <br /> Waste Tire Management System 3.86,0053 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form(Page 1):Martin Brower(TPID:1440095) <br /> Report is in SUBMITTED status—CalRecycle approval of this inspection report is pending. <br /> Survey Submitted for Cal Recyde review. <br /> Part A-Survey <br /> Create PDF from this n Email Inspection To Facility Operator <br /> electronic survey Inspection Emailed on 8/24/2016(open Documents tab) <br /> *TPID-Site Suffix:1 a aOu95 -01 <br /> Found in Database <br /> Martin Brower <br /> 4704 Fite Ct <br /> Stockton,CA 95215-8308 <br /> Local Identifier:San Joaquin County <br /> Business Rep:Gary Parker Title:Fleet Supervisor <br /> *f:1 Tire Count:7 <br /> Latitude: `Longitude: <br /> *Inspection Type:J Routine Re-inspection Referral Observation <br /> If referral,referral type: CHP _.CalRecycle Complaint Educational Visit Other <br /> Inspected By: 39-101 San Joaquin County v <br /> *Inspector: Harprit Mattu <br /> *Inspection Date: if)/2016 <br /> *Time In i l i PNI - <br /> *Time Out FNI <br /> *Operation Status Tire Type Business Role Storage Type <br /> Active Passenger J Generator Outdoor <br /> Closed Altered Hauler 4 Indoor <br /> Inactive <br /> Planned J 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 I 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 /> 14 CCR§18459-Responsible Entities Complying with Manifesting Requirements <br /> 14 CCR§18459.1-Tire Program ID Number and Certificate from CalRecycle <br /> 14 CCR§18459.2.1-Submittal of Manifest Forms and Tire Trip Logs within 90 days <br /> 14 CCR§18459.3-Retention of Manifest Forms and Tire Trip Logs for 3 years <br /> 14 CCR§18460.2-Manifest System Requirements for Registered Waste Tire Haulers <br /> 14 CCR§18461-Manifest System Requirements for Waste Tire End-Use Facilities <br /> 14 CCR§18462-Manifest System Requirements for Waste Tire Generators <br /> Other 14 CCR§ <br /> ENFORCEMENTSTATUS <br /> Notice of Violation Extension <br /> Compliance Deadline: <br /> (Required for NOV or EXT) <br /> Referred/CalRecycle Enforcement <br /> In Compliance-No Violations <br /> Comments: <br /> g j Q Tr lI- _ _ _ _,Le-12-Pg A A I Paragraph Font Family Font Sizes <br /> Routine inspection conducted on this date and the following was noted: <br /> No violations or areas of concern. <br /> Notes: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=237405&0rga... 8/24/2016 <br />