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Survey & Inspection Report - C,,rvey 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): Orchard Supply Hardware (TPID:1395479) <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 M Inspection Form Number: IW- <br /> this Inspection Emailed on 1/11/2017 1049280 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1395479 - 01 <br /> Found in Database <br /> Orchard Supply Hardware <br /> 2650 N MacArthur Dr <br /> Tracy, CA 95376-2000 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Ben Mika Title: Manager DC Services <br /> * M Tire Count: 21 <br /> Latitude: Longitude: <br /> * Inspection Type: %41 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: Lor Xiong <br /> * Inspection Date: 1/10/2017 <br /> * Time In 12:30 PM <br /> * Time Out 1:15 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active Passenger V Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned V Truck End-Use Container <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture [_j Retreader <br /> [; Used Tire Dealer Hauler Government E Crumb Rubber <br /> [;Service Station V Trucking Fleet Collection [. Dismantler <br /> E. Auto Repair Car Dealer Shredder [Tire Derived Fuel <br /> E. Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=244498&0rga... 1/11/2017 <br />