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HAULER OBSERVATION REPORT <br /> CalRecycle CalRecycle 775(New 2/14) <br /> [kp,ofRsou R—d,,ga dRcao BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> ❑ TPID-not available/not applicable <br /> [771 Observation during inspection at: <br /> TPID- 1 7 9 9 4 6 5 - 0 1 <br /> zGenerator ❑End—use Facility ❑Other: <br /> Vehicle TPID- 1 5 8 3 9 <br /> Plate State ❑ Observation in transit <br /> Decal Observation by Inspector <br /> Number m 3 9 - 1 0 1 IMATTU <br /> (If Applica- <br /> ❑ Hauler Exempt: Observation Date <br /> ❑ Hauler name&address not known <br /> Hauler Observation Time <br /> Al Tracy Auto GTR AM <br /> Hauler <br /> 1 0 <br /> Hauler Address 7928 W 11 th St ; FT-Fol ® PM <br /> Street ENFORCEMENT STATUS <br /> City State Zip Code ❑ Notice of Violation <br /> Tracy CA 95304-9303 <br /> Compliance Deadline <br /> Driver's Name D.O.B. <br /> Lj <br /> Location of Observation Manteca Auto Dismantling ❑ Referred/CalRecycle, Tire Hauler Compliance Unit <br /> Street 3737 W. Yosemite Ave <br /> For more information concerning Waste/Used Tire <br /> City State Zip Code Hauling & Manifestin lease call the Waste Tire <br /> Lathrop CA 95330 b g' P <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 /> OQ PRC§42951 -Waste Tire Hauler Registration and Transport of Tires 0 O PRC§42956(c)-Failure to Present Registration to Official <br /> C) ® PRC§42952(b)-Falsely Represents Self as Registered Hauler ® ® 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> 0 ® PRC§42956(a)-Registration/Decal in Vehicle Q ® 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> 0 0 PRC§42956(b)-Hauler Using an Unregistered Vehicle 0 0 Other§ <br /> Comments/ Driver's Statement: <br /> 1.) During a routine inspection at "Manteca Auto Dismantling" (1583974-01), receipts were observed <br /> detailing the hauling of more than 9 waste tires by "Al Auto Tracy GTR" on 2 separate occasions. <br /> This hauler is unregistered. <br /> 2.) Photographs of receipts documenting hauling of waste tires on 1/13/2016 and 11/10/2015 <br /> attached. <br /> 3.) Inspection report IW-1050850 for "Manteca Auto Dismantling" (1583974-01) attached. <br /> Comment Form ❑ <br /> — 209-468-3284 <br /> Photos ❑ Driver's Signature Phone Number I pector's Signature Phone Number <br /> Correct : Incorrect: X <br />