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3/31/2017 Survey&Inspection Report-Survey Form(F 1) <br /> Waste Tire Management <br /> System 3.86.0063 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hlde Survey Form (Page 1): Burkett's Pool Plaster(TPID:1441299) <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 , Email Inspection To Facility Operator 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 3/31/2017 1053052 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1441299 - 01 <br /> Found in Database <br /> Burkett's Pool Plaster <br /> 600 North Highway 99 Frontage Road <br /> Ripon, CA 95366 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Shane Speer Title: Operations <br /> * M Tire Count: 10 <br /> Latitude: ° Longitude: <br /> — .................................__. ------- -- <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: 3/22/2017 <br /> * Time In 1:20 PM <br /> * Time Out 1:45 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> ✓ Active ✓ Passenger ✓ Generator ✓ Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive ✓ Truck End-Use Container <br /> Planned <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: Pool Remodeling <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://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=248270&OrganizationTPID=1441299&InspectionID=&Inspected By=O&RegE... 1/4 <br />