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HAULER OBSERVATION REPORT <br /> CalRecycle ia <br /> CalRecycle 775(N-2/14) <br /> kpl 4R,,­..„R.<y6.g.,aR­ y BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> O TPID-not available/not applicable <br /> Observation during inspection at: <br /> • Generator O End—Use Facility O Other: <br /> TPID- 1 7 3 4 1 3 — 0 1 <br /> TPID- 1 1 0 1 9 1 3 5 1 7 9 <br /> Vehicle State <br /> Plate Q Observation in transit <br /> Decal Observation by Inspector <br /> Number m 3 9 — 1 0 1 I 9 <br /> (If Applica- Xlon <br /> Q Hauler Exempt: Observation Date <br /> Q Hauler name&address not known <br /> Hauler Observation Time <br /> Gutierrez Tire &Wheel Inc. 0 AM <br /> 1 2 ; 1 0 0 PM <br /> Hauler Address <br /> Street 4808 ENFORCEMENT STATUS <br /> Stine Rd <br /> City State Zip Code O Notice of Violation <br /> Bakersfield CA 93313 <br /> Compliance Deadline <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> Referred/CalRecycle, Tire Hauler Compliance Unit <br /> Street <br /> 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 /> Q Q PRC§42951-Waste Tire Hauler Registration and Transport of Tires Q Q PRC§42956(c)-Failure to Present Registration to Official <br /> Q Q PRC§42952(b)-Falsely Represents Self as Registered Hauler Q Q 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> O O PRC§42956(a)-Registration/Decal in Vehicle Q Q 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle Q Q Other§ <br /> Comments/Driver's Statement: <br /> 1.)A search done on WTMS for"CHP-Tracy"shows no activities from 8/26/2015 to present. During the inspection at <br /> "CHP-Tracy"6 manifests from"GTW'were onsite for review. The pickups are from 10/11/2016, 06/21/2016, <br /> 01/28/2016, 11/12/2015, 04/06/2016, and 09/17/2015. <br /> 2.) Manifests reviewed were not submitted to Cal-Recycle within 90 days of load shipment. <br /> Comment Form O <br /> 209-468-2807 <br /> Photos Q Driver's Signature Phone Number Inspector's Signatur Phone Number <br /> Correct : Incorrect: X <br />