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Survey & Inspection Report *vey Form (Page 1) • 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: 12 (Required for NOV or EXT) Referred / CalRecycle Enforcement In Compliance - No Violations Comments: 1 A A Paragraph Font Family Font Sizes Routine waste tire inspection done on this date and the following was noted: No violations or areas of concern i Notes: 1. Permission to conduct inspection given by Jose Flores, Owner. 2. Inspection was done with Jose Flores. _._.__._...__...3._A.direct count was used in counting the tires. i Signatures Inspector's Signature Business Rep's Signature Upload Inspection Survey PDF Browse.., Administrative Notes Message for CalRecycle: - �t Eh libh r► B I u -& x, Xz Tx : _ = = = -� =' ►� �� - ® r A A I+ ( Paragraph Font Family Font Sizes L!5! -t --....... https:Hsecure.calrecycle. ca.gov/WTMS/InspectionISurvey.aspx?SurveylD=244765 &0rga... 1/23/2017