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Survey & Inspection Report-W ey Form (Page 1) • Page 2 of 3 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 ❑ I❑ 114 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements ❑ ❑ 14 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 ❑ 1❑ 114 CCR § 18461 - Manifest System Requirements for Waste Tire End-Use Facilities ❑ ❑ 114 CCR § 18462 - Manifest System Requirements for Waste Tire Generators ❑ ❑ 1 Other 14 CCR § ENFORCEMENT STATUS ONotice of Violation ,`Extension Compliance Deadline: (Required for NOV or EXT) "Referred / CalRecycle Enforcement *In Compliance - No Violations Comments: l 4�_L'_ A A " '(Paragraph Font Family - Font Sizes CalRecycle referred closeout inspection conducted on this date and the following was noted: No Violations or Areas of Concern. Notes: 1.) Business has closed. A sign stating "American Transmission and Auto Repair opening soon" was posted on the closed garage doors. v Signatures Inspector's Signature ; Business Rep's Signature Upload Inspection Survey PDF Browse... Administrative Notes Message for CalRecycle: ) B I u s x, X' Tx j( - - - - 1L. E -' Ema; eo A - A ( Paragraph Font Family ._ Font Sizes l 4 .lj https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=240851&Org... 10/10/2016