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HAULER OBSERVATION REPORT Observation Report Number <br /> Ca1Rec cle siueoec,r;i;�. M- <br /> y C&wXCYcle Xxx(ReVX=) <br /> ey�q��,,}yy} yy X BLUE OR, BLACK INK PEN <br /> ME <br /> —11,1 :.7 ii�.-f'�F q'��I}iitll l?t"N� <br /> O TPID-not available/not applicable <br /> is Observation during inspection at: <br /> TPID- O p g O - Q 0 Generator 0 End-Use Facility 0 Other. <br /> Vehicle <br /> TPID= °1 1 0 -4 0 -7 <br /> n State Plate l , Q Observation in transit <br /> Decal Observation by Inspector <br /> {�1rumbee)� 1 � 1 — R d 1 I /"�KTTy <br /> Applicab <br /> Observation Date ����I <br /> O Hauler Exempt: <br /> Hauler Name Observation Time <br /> O AN <br /> Hauler Address vµ <br /> Street <br /> City State Zip Code <br /> Su�k� Qns� CA 95407 <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> street <br /> For mor6 information concerning Waste/Used Tire <br /> city scare Zip code Hauling&Manifesting,please call the Waste Tire <br /> =tY Hotline at(866) 896-0600. <br /> r�. 11 P ti <br /> Part B- <br /> Q Q PRC§42951-Waste Tire Hauler Registration and Transport of Tires 0 O PRC§42956(c)-Failure to Present Registration to Official <br /> O O PRC§42952(b)-Falsely Represents Self as Registered Hauler 0 0 14 CCR§18456.4•-Failure to Abide by Temporary Registration <br /> O O PRC§42956(a)-Registration/Decal in Vehicle 0 0 14 CCR§18459.Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle Q 0 Other§ <br /> Comments 1 Driver's Statement: <br /> ��_ _ a,,���s�s�=�__��_-.-5�-��.-�s�.vl.�c?����ac.�— • 020 7q— <br /> se % <br /> q-5.e- % <br /> p�;c"'�.__sOpZ .._ aSe�_ssszS-. �.`f_._ '�c�SL �?�e�. s�v�?� ` <br /> L h 4dt-, (`. J,i F��gt'1� �9�t.;"t?7 T.,rr .E' �l'nx'*'•' P n: �` 1 9v . :." .. Fi7f:•B:.M: <br /> Correct: Incorrect: <br />