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Observation Report Number <br /> HAULER OBSERVATION RE-PORT <br /> CalRecycle stye GfC.1ifbn,:. 11H-XXXXXXX <br /> UR-ycle XXX ORLw)=) <br /> R---y BLUE OR BLACK INK PEN <br /> 77 <br /> "Fl- <br /> 0 TPID-not available/notI applicable Observation during inspection at:6)1Ae_1 t _7irQ, CC) <br /> TPID- (D Generator 0 End—Use Facility 0 Other: <br /> Vehicle TPID-I \ I \ I ,�t k,- I S K_ I --]� — <br /> Plate State 0 Observation in transit <br /> Decal Observation by Inspector <br /> Number c LT E Ec-, - F Mct- i <br /> (If Applicable) <br /> Observation Date <br /> 0 Hauler Exempt: <br /> Hauler Name ' Observation Time <br /> C <br /> a AM 0 PM <br /> Hauler Address <br /> .2 ?o --�- . - <br /> street <br /> (-A X13 7(-" <br /> City State Zip Code <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> Street <br /> CA SFor more information concerning Waste/Used Tire <br /> city state Zip Code <br /> Hauling&Manifesting,please call the Waste Tire <br /> Hotline at(866) 896-0600. <br /> Part B- <br /> BMW <br /> 0 0 PRC§42951-Waste Tire Hauler Registration and Transport of Tires 0 0 PRC§42966(c)-Failure to Present Registration to Official <br /> 0 0 PRC_§42952(b)-Falsely Represents Self as Registered Hauler 0 0 14 CCR§18456.4—Failure to,Abide by Temporary Registration <br /> 0 0 PRC§42956(a)-Registration/Decal in Vehicle 0 C) 14 CCR§18459 Hauler Complying with Manifestin R ul ents <br /> iq CC <br /> L 34160 <br /> 0 0 PRC§42956(b)-Hauler Using an Unregistered Vehicle 0 0 Other <br /> Comments Driver's Statement: <br /> _axr, 4TV:'YN <br /> Y/ <br /> Yl a <br /> 7 <br /> Ci alLzQ —7 67-"- AY?k. <br /> n CC) <br /> r <br /> Correct Incorrect: <br />