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Survey & Inspection Report - S­rvey 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 /> ❑ ❑ 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 /> ONotice of Violation OExtension <br /> Compliance Deadline: <br /> (Required for NOV or EXT) <br /> OReferred / CalRecycle Enforcement <br /> *In Compliance - No Violations <br /> Comments: <br /> It t ft I B I_ u -& x, xz L <br /> A Paragraph �mm Font Family Font Sizes <br /> Routine inspection on this date and the following was noted: <br /> No violations or areas of concern. <br /> Notes: vi <br /> Signatures <br /> ❑Inspector's Signature❑ Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> Browse... <br /> Created by: Harprit Mattu 7/20/2016 8:21 AM <br /> Last Updated by: Harprit Mattu 7/20/2016 9:07 AM <br /> Waste Tire Management System https://secure.caIrecycle.ca.gov/WTMS/ <br /> Contact: WasteTires@cal recycle.ca.00v 1-866-896-0600 (toll free) <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=235987&0rga... 7/20/2016 <br />