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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): Lopez Tire Shop (TPID:1778954) <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 this ra Email Inspection To Facility Operator 0 Inspection Form Number: IW-1048808 <br /> electronic survey <br /> * TPID - Site Suffix: 1775954 - 01 <br /> Found in Database <br /> Lopez Tire Shop <br /> 5121 Holiday Dr <br /> Stockton, CA 95207-5966 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Noe Jimenez Title: Tire Guy <br /> * 0 Tire Count: 142 <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 San Joaquin County u <br /> * Inspector: Lor Xion_g <br /> * Inspection Date: 12/28/2016 <br /> * Time In 12:35 PM <br /> * Time Out 12:50 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> wl Active V Passenger V Generator V Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned Truck V End-Use Container <br /> OTR <br /> Business Type: <br /> V New Tire Dealer Auto Body Agriculture [ Retreader <br /> Y Used Tire Dealer Hauler Government F_ Crumb Rubber <br /> Service Station Trucking Fleet Collection [ Dismantler <br /> Auto Repair Car Dealer Shredder [Tire Derived Fuel <br /> [., Other Business Type Other: <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=244027&0rgani... 1/3/2017 <br />