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1/10/2017 Survey&Inspection Report-Survey Form(P ) <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Rerorts I Help I Sian Out <br /> Hlde Survey Form (Page 1): Gill Tire(TPID:1037001) <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 1/10/2017 1048847 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1037001 - 01 <br /> Found in Database <br /> Gill Tire <br /> 4611 West Ln <br /> Stockton, CA 95210-3561 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Sam Gill Title: Owner <br /> * D Tire Count: 70 <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 V <br /> * Inspector: Harprit Mattu V <br /> * Inspection Date: 12/29/2016 <br /> * Time In 1:55 PM <br /> * Time Out 2:10 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active V Passenger V 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://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=244066&OrganizationTPID=1037001&I nspection ID=&InspectedBy=O&Reg... 1/4 <br />