Laserfiche WebLink
.... <br /> HAULER OBSERVATION REPORT <br /> .......... <br /> CalRecycle sCalRecycle77(New 2/14) <br /> NpL orResourcn Raydina end Fx a ay BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> O TPID-not available/not applicable ® Observation during inspection at: <br /> TPID- v C( <br /> © Generator O End—Use Facility O Other. <br /> � � 3 3 �� ' � � <br /> Vehicle TPID <br /> State Observation in transit- <br /> Plate _O_ . _. <br /> Decal Observation by Inspector / <br /> Number <br /> (If Applica- <br /> p Hauler Exempt: Observation Date <br /> O Hauler name&address not known <br /> Observation Time <br /> Hauler <br /> Hauler Address © PM <br /> - _`155 S-. j�---,00?4*kSjjc.:c.i-- <br /> Streety ENFORCEMENT STATUS <br /> city state zip code O Notice of Violation <br /> t. <br /> r, <br /> Compliance Deadline <br /> Driver's Name D.O.B. r. <br /> Location of Observati_QQ <br /> ��- Referred/CalRecycle, Tire Hauler Compliance Unit <br /> Street <br /> �•0 -- - -- - / �5 For more information concerning Waste/Used Tire <br /> City state zip code Hauling&Manifesting,please call the Waste Tire <br /> Tire Load Count ❑ Hotline at(866) 896-0600. <br /> (used+waste) <br /> Part B- <br /> V A Hauler/Manifest Requirements V A Hauler/Manifest Requirements <br /> O O PRC§42951-Waste Tire Hauler Registration and Transport of Tires O O PRC§42956(c)-Failure to Present Registration to Official <br /> O O PRC§42952(b)-Falsely Represents Self as Registered Hauler O O 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> O O PRC§42956(a)-Registration/Decal in Vehicle ® O 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle O O Other§ <br /> Comments/Driver's Statement: <br /> L %� l3 IS t%c t�� 6Uce1.? ��. zc G�i • , <br /> �✓ L-eS Sck, 003921f-01 ), vVeIrl <br /> a K:ft r " Sea . Q1R El — Z T, h v„n Cys incur i <br /> R_Y_ 'k2l J90_5 1 nesse 5 `fie. c n 12 Liz <br /> Comment Form O <br /> Photos O Driver's Signature Phone Number Inspector's Signa ure Phone Number <br /> Correct: Incorrect: X �r <br />