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Survey & Inspection Report-4Fvey Form(Page 1) 0 Page 2 of 3 Part B -Inspection of Waste Tire Dealer, Generator, and End-Use Facility Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility V A HAULING AND MANIFEST REQUIREMENTS ❑ ❑ PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires ❑ ❑ PRC § 42953 - Contracts with Registered Waste Tire Haulers ❑ ❑ PRC § 42956 - Hauler Registration/Decal in Vehicle ❑ IF1 114 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements ❑ 114 CCR § 18459.1 - Tire Program ID Number and Certificate from CalRecycle ❑ ❑ 14 CCR § 18459.2.1 - Submittal of Manifest Forms and Tire Trip Logs within 90 days ❑ ❑ 14 CCR § 18459.3 - Retention of Manifest Forms and Tire Trip Logs for 3 years ❑ ❑ 14 CCR § 18460.2 - Manifest System Requirements for Registered Waste Tire Haulers ❑ ❑ 14 CCR § 18461 - Manifest System Requirements for Waste Tire End-Use Facilities ❑ ❑ 14 CCR § 18462 - Manifest System Requirements for Waste Tire Generators ❑ 10 1 Other 14 CCR § ENFORCEMENT STATUS JNotice of Violation OExtension Compliance Deadline: IN (Required for NOV or EXT) %Referred / CalRecycle Enforcement ' In Compliance - No Violations Comments: LX Eh lb O� fOJCB I u sx, xz T (— — — K3 o") A .. A (Paragraph -- Font Family - Font Sizes Routine inspection conducted on this date and the following was noted: 1.) A/C T14 CCR 6 18459.3 - Manifests for the following dates were not available for review: 7/19/16, 6/20/16, 5/19/16, and 12/9/15. A. Waste tire manifests shall be retained onsite for 3 years. B. Ensure subsequent manifests are saved and stored on site. v Signatures 1-1 Inspector's Signature Business Rep's Signature Upload Inspection Survey PDF ._� Browse... Administrative Notes Message for CalRecycle: https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=23 8714&0rga... 8/30/2016