COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

so so State of California California Integrated Waste CIWMB 690 (Rev 6/03) Management Board Tire Program Identification (TPID) Number Application The Tire Program Identification (TPID) number is a unique number assigned by California Integrated Waste Management Board (CIWMB) to each participant (generator, hauler, and end use facility) in the waste tire manifest system for identification purposes. In order for the CIWMB to be able to assign a TPID number to your business location, please complete the following information and submit it to the address listed below. If you have offsite storage locations where tires are picked up, delivered or stored, you must complete the information for those sites as well. All offsite waste tire locations must have a separate and unique TPID number. For more information on the TPID and its use within the Waste Tire Manifest System see the Waste Tire Manifest System Guidance Manual, Section 3 —Tire Program Identification (TPID)Number. Upon completion and submittal of this form to the CIWMB, your business will be assigned a unique TPID number for your primary business location as well as a TPID for any offsite storage locations you may have. Please complete the following information. If you have any questions,you may call the CIWMB Waste Tire Hauler Program's toll free number at 1-866-896-0600. Indicate your business category: (Please check the appropriate box) ❑ Private Sector ❑ Non-Profit Organization ❑ Government (select one) ❑ Federal ❑ State ❑ Local ❑ Special District ❑ Indian Reservation ❑ Other: Indicate your primary business activity: (Please check the appropriate box) ❑ Waste Tire Generator ❑ Waste Tire Hauler ❑ Waste Tire End Use Facility Please provide the following information about the primary business location where tires are physically generated, hauled, or delivered/disposed. (Please do not list corporate office locations.) Business Name: Phone: ( ) Name of Business Operator/Manager: Business Address (Physical location): Cit StaZI te: P Code : Mailin Address, if different: State: ZIP Code: Ci Do you store tires at any other non-retail site locations? ❑ No ❑ Yes (If yes, list the address and city for each site. Additional space for offsite locations is provided on the reverse.) Business Address (Physical location): State: ZIP Code: City: Business Address (Physical location): City: State: ZIP Code: (continued on reverse)