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JUN-23-1900 03:01 . P.02 <br /> i <br /> i <br /> .'4� .LY6 �N, <br /> "In accordance with Section 42954 (a) (7) of Chapter 19 of the Public <br /> Resources Code, the common carrier identified below transports <br /> something other than waste tires to an original destination point <br /> and then transports waste tires on the return part of the trip <br /> The revenue derived from transporting the waste tires must be <br /> incidental when compared to the revenue earned by the common <br /> carrier. . <br /> The common carrier requests an exemption from the Waste Tire Hauler <br /> Registration based on Section 42954 (x) (7) . " <br /> [Provide the following information on the company in the <br /> certification letter] <br /> 1 . Complete name of the individual and/or business . <br /> 2 _ All other business names of the common carrier (DBA names) <br /> 3 Mailing address for the individual and/or business. <br /> 4 . Name of the contact person. <br /> 5 . Area code and telephone number where the contact person can be <br /> reached Monday through Friday, 8 : 00 a-m. through 5: 00 p.m. <br /> 6 . Number of company trucks the common carrier estimates that <br /> haul waste tires on return trips. <br /> 7 _ Description of the business operation - Describe how you or <br /> your company qualify for common carrier exemption. <br /> e . Include Certification - "I certify under penalty of perjury <br /> under the laws of the' State of California that the information <br /> provided herein is true and correct. " <br /> 9_ Signed and printed name of the authorized agent on behalf of <br /> the business. <br /> 10 . Date of certification. <br /> (Submit information to the California Integrated Waste Management <br /> Board, P_O. Box 4025, Sacramento, CA 95812 , Attention: Keith E. <br /> Cambridge, Waste Tire Hauler Unit . Phone : (916) 341 -6422 FAX: (916) <br /> 319-7605 . ] <br /> Note: Certifications are good for the calendar year, ending on <br /> December 31 . Exempt haulers must re-certify each year. <br /> Haulcrs\Cccarc.011002•doc <br /> TOTAL P.02 <br />