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Survey & Inspection Report -0vey Form (Page 1) 0 Page 2 of 3 Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility V A HAULING AND MANIFEST REQUIREMENTS PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires PRC § 42953 - Contracts with Registered Waste Tire Haulers PRC § 42956 - Hauler Registration/Decal in Vehicle 14 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements 14 CCR § 18459.1 - Tire Program ID Number and Certificate from CalRecycle 14 CCR § 18459.2.1 - Submittal of Manifest Forms and Tire Trip Logs within 90 days 14 CCR § 18459.3 - Retention of Manifest Forms and Tire Trip Logs for 3 years 14 CCR § 18460.2 - Manifest System Requirements for Registered Waste Tire Haulers 14 CCR § 18461 - Manifest System Requirements for Waste Tire End-Use Facilities 14 CCR § 18462 - Manifest System Requirements for Waste Tire Generators Other 14 CCR § ENFORCEMENT STATUS Notice of Violation Extension Compliance Deadline: n (Required for NOV or EXT) Referred / CalRecycle Enforcement ®In Compliance - No Violations Comments: i � 1116t `! tom' .L!3 .1 U _& X, Xz Tx = = _ = L = _. ._ l d_ 6? ED A A LParagraph Font Family Font Sizes Initial waste tire inspection done on this date and the following was noted: No violations or areas of concern. Notes: 1.) Business is no longer on site address. 2.) No waste tires observed on site. 3 ) Called phone number on business summary and was able to reach Javier Garcia (Manager). Javier stated Signatures Inspector's Signature Business Rep's Signature Upload Inspection Survey PDF Browse... Administrative Notes Message for CalRecycle: A A I Paragraph Font Family Font Sizes https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=249095&0rga... 4/25/2017