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Photo Log <br /> Facility: Wilson Way Tire Company, Inc. TPID: 1000837 <br /> Inspection Report: IW-1031840 Date: 12/3/2015 <br /> 011v <br /> ,ter d <br /> ' <br /> V„• <br /> N <br /> a _.���..�w.nnr•ntPAOt1 <br /> wimELIEEZA ERViEtREcon <br /> pi P1D 10008_ �(j2� <br /> W/ison Way Tiro Recap 902 Cannon".�,/r'�/15 #21 U Sales #23 US Th®Solos 024 US Tiro Sales <br /> 1533 Market St. 2211 N.W ison 1te BIM. 1913 NotloQal Aw. 6530 Franklin Blvd. <br /> Stockton,CA 85205 Stockton,CA 85205 Modesto,CA 85354 209-•85.7262 209-166-2581 209371.5011 NaYwaM,CA OtS�S Sacramento,CA 95823 <br /> 510-887-1282 916-395.2215 <br /> P.O.# DATE <br /> I PHONE VEHICLE# <br /> it � LICENSE# <br /> I fE <br /> E ZIP CODE <br /> A 9 <br /> ✓7 I G <br /> 3 3 y3 y3 O r �. <br /> Ipar/ury urrdtr fM lams of the State of Calltomla that the Inlontntlon proWdad above Ia Wt.In addition,I am swan that'.I- kation of <br /> i suapenalon,ravocat)on,or denial of renewal of the Waab Tin Nsular Ro8lstratlon pursuRosourcea Code aoctlon 02960 and may <br /> 123,000 per day,per Halation W adminlstratWolfonattlaa up to S5,000 per violation per dad In Public Resources Codo section 42962. <br /> DRIVER SIGNATURE 'ATE <br /> X <br /> Lei AI I q V 110TWX I M C NW, •' • <br /> TRUCKlfRAILER# _LICENSE STATE OppMETER/HUg <br /> fALtiINSTRUCTIONS" .! -- < ' <br /> � !. ON OFF <br /> L2 "17 <br /> COAIPIFlF1D �OTY.'. DES011Pftf4OF"RK COMPL4:7W QTY. 0FSCF21PTi0N.0F00RnCpy{PU?a 1) <br /> MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEM(S) <br /> MOUNT/DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> LOOSE MOUNTS o mi <br /> — <br /> Photo: 16 of 20 <br /> Description: <br /> Manifests failed to be submitted to WTMS within the 90-day requirements,and is in violation of 14 CCR, <br /> Section 18456.2.1(b),the waste tire hauler shall submit a completed manifest form to the Department <br /> within 90-days of load shipment. 16 <br />