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Survey & Inspection Report - `'--rvey 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): Nissan of Stockton (TPID:1763343) <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 LTJ Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 12/28/2016 1048752 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1763343 - 01 <br /> Found in Database <br /> Nissan of Stockton <br /> 3077 E Hammer Ln <br /> Stockton, CA 95212-2801 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Derek Gibson Title: Parts Manager <br /> * M Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: V Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP_j CalRecycle Complaint Other <br /> Inspected By: 39-101 San Joaquin Co_inty u <br /> * Inspector: Lor Xiong u <br /> * Inspection Date: 12/23/2016 <br /> * Time In 11:10 AM <br /> * Time Out 11:35 AM <br /> * Operation Status Tire Type Business Role Storage Type <br /> Active Passenger 4 Generator Outdoor <br /> Closed Altered Hauler V 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 Il Hauler Government Crumb Rubber <br /> Service Station ā¯‘Trucking Fleet Collection Dismantler <br /> Auto Repair st Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243971&Org... 12/28/2016 <br />