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Survey & Inspection Report *vey Form (Page 1) 0 Page 2 of 3 <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 ti _ Lh R'► l B -1 _ z Tx _ <br />A A (Paragraph Font Family Font Sizes �± <br />Routine waste tire inspection done on this date and the following was noted: <br />No violations or areas of concern <br />Notes: 1. Permission to conduct inspection given by Amy Lung, Manager. <br />2. Inspection was done with Amy Lung. <br />A direct count was used in <br />Signatures <br />Inspector's Signature Business Rep's Signature <br />Upload Inspection Survey PDF <br />Browse... <br />Administrative Notes <br />Message for CalRecycle: <br />https://secure.calrecycle.ca.gov/WTMS/InspectionISurvey.aspx?SurveyID=244504&0rga... 1/13/2017 <br />