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Survey & Inspection Report - S»rvey Form (Page 1) 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 /> ❑ ❑ 114 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 OExtension <br /> Compliance Deadline: 10/25/2016 <br /> (Required for NOV or EXT) <br /> Referred / CalRecycle Enforcement <br /> 0In Compliance - No Violations <br /> Comments: <br /> l A A IParagraph Font Family Font Sizes <br /> Routine inspection conducted on this date and the following was noted: <br /> 1.) Violation T14 CCR& 18459.3 - A CTL search done for this facility resulted in 17 manifests. Facility was <br /> able to provide 8 of the 17 manifests. <br /> a. The waste tire generator, and end-use facility shall retain a copy of the completed Manifest Form at their <br /> place of business. Manifest Forms shall also be retained for three (3) years. These records shall be made v <br /> Signatures <br /> ❑Inspector's Signature❑ Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> Browse... <br /> Created by: Harprit Mattu 7/27/2016 4:31 PM <br /> Last Updated by: Harprit Mattu 7/29/2016 8:26 AM <br /> Waste Tire Management System htti)s://secure.caIrecycle.ca.gov/WTMS/ <br /> Contact: WasteTires0)calrecycle.ca.gov 1-866-896-0600 (toll free) <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=236331&Orga... 7/29/2016 <br />