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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): KIA Country (TPID:1352579) <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 1/3/2017 1048805 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1352579 - 01 <br /> Found in Database <br /> KIA Country <br /> 1515 N Main St <br /> Manteca, CA 95336-3243 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Neil Holcomb Title: Parts Manager <br /> * 0 Tire Count: 18 <br /> Latitude: o Longitude: o <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 u <br /> * Inspector: Lor Xionq <br /> * Inspection Date: 12/28/2016 <br /> * Time In 11:00 AM <br /> * Time Out 11:20 AM <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 /> 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=244024&0rgani... 1/3/2017 <br />