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Survey & Inspection Report - $Vey Form (Page 1) 0 Page 2 of 2 <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> PRC § 42956 - Hauler Registration/Decal in Vehicle <br /> 14 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements <br /> 14 CCR § 18459.1 - Tire Program ID Number and Certificate from CalRecycle <br /> 14 CCR § 18459.2.1 - Submittal of Manifest Forms and Tire Trip Logs within 90 days <br /> 14 CCR § 18459.3 - Retention of Manifest Forms and Tire Trip Logs for 3 years <br /> 14 CCR § 18460.2 - Manifest System Requirements for Registered Waste Tire Haulers <br /> 14 CCR § 18461 - Manifest System Requirements for Waste Tire End-Use Facilities <br /> 14 CCR § 18462 - Manifest System Requirements for Waste Tire Generators <br /> Other 14 CCR § <br /> ENFORCEMENT STATUS <br /> Notice of Violation Extension <br /> Compliance Deadline: <br /> (Required for NOV or EXT) <br /> Referred / CalRecycle Enforcement <br /> ®In Compliance - No Violations <br /> Comments: <br /> A A Paragraph Font Family Font Sizes <br /> Routine inspection was conducted on this date and the following was noted: <br /> 1.) A/C T14 CCR ri 18462 - CTL# 5602560-B did not have facility TPID number listed. CTL#s 551677-B, <br /> 5515783-B, and 5441483-B did not have load dates listed. All of these CTLs were for the delivery of used tires. <br /> A. Waste tire manifests shall be filled out completely and accurately. <br /> Signatures <br /> Inspector's Signature Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> Created by: Harprit Mattu 8/3/2016 12:34 PM <br /> Last Updated by: Harprit Mattu 8/4/2016 4:28 PM <br /> Waste Tire Management System https://secure.caIrecycle.ca.gov/WTMS/ <br /> Contact: WasteTires@calrecvcle.ca.gov 1-866-896-0600 (toll free) <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=236672&0rgani... 8/4/2016 <br />