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lila- <br /> HAULER OBSERVATION REPORT <br /> CalReC cle "'OfC i"nlla <br /> y CalRecycle 775(New 2/14) <br /> Dql t R—u—R«y6mg-dRr< y BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> O TPID-not available/not applicable <br /> � Observation during inspection at: <br /> TPID- <br /> Generator 0 End—Use Facility 0 Other: <br /> 1 0 9 9 8 7 6 — 0 1 <br /> TPID- 1 4 1 4 1 0 1 0 1 2 1 9 <br /> Vehicle State <br /> Plate O Observation in transit <br /> Decal Observation by Inspector <br /> Number <br /> (If Applica- Xlon9 <br /> O Hauler Exempt: Observation Date <br /> O Hauler name&address not known <br /> Hauler Observation Time <br /> GCR AM <br /> l i ; 3 0 0 PM <br /> Hauler Address <br /> 4336 <br /> Street ENFORCEMENT STATUS <br /> Pock Lane Ste 200 <br /> City State Zip Code O Notice of Violation <br /> Stockton CA 95206 <br /> Driver's Name D.O.B. Compliance Deadline <br /> Location of Observation <br /> Referred/CalRecycle, Tire Hauler Compliance Unit <br /> Street <br /> For more infonnation concerning Waste/Used Tire <br /> City State Zip Code Hauling &Manifesting, please call the Waste Tire <br /> Tire Load Count ❑ Hotline at (866) 896-0600. <br /> (used+waste) <br /> Part B - <br /> V A Hauler/Manifest Requirements V A Hauler/Manifest Requirements <br /> O O PRC§42951-Waste Tire Hauler Registration and Transport of Tires O O PRC§42956(c)-Failure to Present Registration to Official <br /> Q O PRC§42952(b)-Falsely Represents Self as Registered Hauler Q O 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> O O PRC§42956(a)-Registration/Decal in Vehicle O O 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle O O Other§ <br /> Comments/ Driver's Statement: <br /> 1.)A search done on WTMS from 8/27/2015 to present for"Frontier Transportation"resulted in 50 manifests. <br /> All manifests were onsite and available for review during the inspection. 8 additional manifests from GCR were onsite <br /> and available for review.The pickups are from 06/22/2016, 09/23/2015, 11/02/2015, 10/13/2015, 04/27/2016, <br /> 12/01/2015, 10/11/2016, and 12/22/2015. <br /> 2.)Additional manifests reviewed were not submitted to Cal-Recycle within 90 days of load shipment. <br /> Comment Form <br /> Photos 209-468-2807 <br /> Driver's Signature Phone Number Inspector's Signature Phone Number <br /> Correct : • Incorrect: X <br />