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Survey & Inspection Report - -vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0057 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Costco Wholesale Tire Center(TPID:1244277) <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 Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 12/20/2016 1048453 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1244 Z 01. <br /> Found in Database <br /> Costco Wholesale Tire Center <br /> 1616 E Hammer Ln <br /> Stockton, CA 95210-4119 <br /> Local Identifier: San Joaquin County <br /> Business Rep: John MacDonald Title: Tire Center Manager <br /> * ff]Tire Count: 18 <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 Couni.y <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 12/16/2016 <br /> * Time In 2:1 S PM <br /> * Time Out 2:40 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 /> V 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 /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243672&0rg... 12/20/2016 <br />