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Survey & Inspection Report z" 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): Flying] 61800 (TPID:1683747) <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 1/17/2017 1049391 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1683747 - 01 <br /> Found in Database <br /> Flying J 61800 <br /> 1501 N Jack Tone Rd <br /> Ripon, CA 95366-9500 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Scott Brandau Title: General Manager <br /> * 0 Tire Count: 12 <br /> Latitude: Longitude: <br /> * Inspection Type: / Routine Re-inspection Referral Observation Educational <br /> If referral, referral type: CHP CalRecycle Complaint Other <br /> Inspected By: 39-101 Sari Joaquin County <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 1/12/2017 <br /> * Time In 12:55 PM <br /> * Time Out 1:10 PNl <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 /> [j New Tire Dealer Auto Body Agriculture L_j Retreader <br /> [] Used Tire Dealer Hauler Government Crumb Rubber <br /> ❑ Service Station Trucking Fleet Collection [ Dismantler <br /> [i Auto Repair Car Dealer Shredder Tire Derived Fuel <br /> Other Business Type Other: Truck Stop/Gas Station <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244609&0rga... 1/17/2017 <br />