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Survey & Inspection Report - S1 rvey Form (Page 1) Page I of 3 <br /> Waste Tire Management <br /> System 3.86.0061 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1):A&A Concrete Supply (TPID:1586412) <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 L'J Email Inspection To Facility Operator M Inspection Form Number: IW- <br /> this Inspection Emailed on 2/10/2017 1050689 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1586412 - 01 <br /> Found in Database <br /> A &A Concrete Supply <br /> 10250 W Linne Rd <br /> Tracy, CA 95377-9128 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Alex Bailey Title: Safety &Training Supe <br /> * 1E Tire Count: 16 <br /> Latitude: o Longitude: o <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 u <br /> * Inspector: Lor Xiong V <br /> * Inspection Date: 2/9/2017 <br /> * Time In 10:15 AM <br /> * Time Out 10:30 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 V Container <br /> OTR <br /> Business Type: <br /> Li New Tire Dealer Auto Body Agriculture [i Retreader <br /> ❑ Used Tire Dealer Hauler Government F Crumb Rubber <br /> ['Service Station Trucking Fleet Collection C Dismantler <br /> Auto Repair Car Dealer Shredder ❑Tire Derived Fuel <br /> r,/ Other Business Type Other: Concrete Supply Company <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245908&0rga... 2/10/2017 <br />