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Survey & Inspection Report - ` -vey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0058 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): COX BROS.TIRE SERVICE (TPID:1294184) <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 0 Inspection Form Number: IW- <br /> this Inspection Emailed on 2/7/2017 1050416 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1294184 - 01 <br /> Found in Database <br /> COX BROS. TIRE SERVICE <br /> 507 E 11th St <br /> Tracy, CA 95376-4021 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Eric Breitstein Title: Owner <br /> * M Tire Count: 662 <br /> Latitude: o Longitude: <br /> * Inspection Type: -1 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: Lor Xiong <br /> * Inspection Date: 2/3/2017 <br /> * Time In 11:30 AM <br /> * Time Out 12:20 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active q 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 q Auto Body Agriculture D Retreader <br /> Used Tire Dealer Hauler Government CI Crumb Rubber <br /> Li Service Station Trucking Fleet Collection [I 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?SurveylD=245636&Organi... 2/7/2017 <br />