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Survey & Inspection Report - CalRecycle - 2014-02-05r ji C (<_ Cal Recycle Survey & Inspection Report - Survey Form (Page 1) COSTA MESA SANITARY DISTRICT (TPID: 1395366) State of California CalRecycle 181 Part A - Survey Inspection Form Number: IW- 1009373 TPID -Site Suffix: 1395366 -01 Facility Address COSTA MESA SANITARY DISTRICT 628 W 19th St Inspected On: 2/5/2014 02:25PM - 02:45PM Costa Mesa, CA 92627 Local Identifier: FA0046610/PR0094679 Business Rep: Dyana Wick Title: Administrative Assistant Tire Count: 0 Lattitude: Longitude: Inspection Type: Routine Referral Type: Inspected By: 30 -101 Orange County Inspector: Arghavan Rashidi -Fard Operational Status: Closed Tire Type: Business Role: Storage Type: Business Type: Business Type Other: Part B - Inspection of Waste Tire Dealer, Generator, and End -Use Facility Enforcement Status: In Compliance Compliance Deadline: Comments: Waste tires were previously generated when the city sponsored tire round up events. The city does not sponsor tire round up events. RECEIVED APR D 4 2M USIA MESA SANITARY DISIRICI