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Survey & Inspection Rep"vey Form (Page 1) Page 2 of 3 <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: 12 <br /> (Required for NOV or EXT) <br /> Referred / CalRecycle Enforcement <br /> •In Compliance - No Violations <br /> Comments: <br /> x xz ix I = _ — = I a� i '_ 0 C' <br /> A A Paragraph Font Family Font Sizes <br /> Routine waste tire inspection done on this date and the following was noted: <br /> 1. A/C T14 CCR & 18462 - Manifest System Requirements for Waste Tire Generators- <br /> Manifests on the <br /> following dates of this year had the incorrect facility TPID number(had the previous owner's closed <br /> TPID: <br /> 1587441-01): 1/5, 1/15, 1/23, 2/1, 2/11, 2/19, 2/25, 4/15, 4/19, 4/26, 4/29, 5/4, 6/4, 6/11, 6/25, 7/1, 7/15, <br /> Qt10 <br /> Signatures <br /> Inspector's Signature Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> Brovi <br /> Administrative Notes <br /> Message for CalRecycle: <br /> °4 lam. B IU xz x Tx _ _ — = l__— _ -' '— �.G�� G911 <br /> Paragraph Font Family Font Sizes <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=243523&Org... 12/14/2016 <br />