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HAULER OBSERVATION REPORT Observation Report Number <br /> ���' '�,,�) �-� k� <br /> CalRecycle <br /> r>gr. r Rwya gMaxga req BLUE OR BLACK INK PEN <br /> 'Al A PaD F.114 RI3 1�, 1IN1"�l�i�bbd ��n�Hi�'n�' P 3 5� a � ,�.��"C�7f M �i <br /> 0 TPID-not availablelnot applicable <br /> is Observation during inspection at: <br /> TPID- * Generator 0 End-U�s-e FFacilittyy 0 Other: <br /> Vehicle (� TPID= 3 7 ' _ I ' <br /> Plate ! �� State Q Observation in transit <br /> Decal rn Observation by Inspector <br /> NumberED I I <br /> (RApplicable) <br /> Observation Date ®I ' <br /> Hauler Exempt: ' <br /> Hauler Name Observation Time <br /> 0 AM <br /> Hauler Address FT11 0 PR <br /> Street <br /> C?� 4s386 <br /> City State Zip Code <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> Street <br /> For more information concerning Waste/Used Tire <br /> city sate zap code Hauling&Manifesting,please call the Waste Tire <br /> reeLQar!lWyd'pco�3 iy ; c Hotline at(866) 896-0600. <br /> .;D'��.a E��!L� r3s�M: d {C�+ fi 5 rltLi !•.L <br /> Part B - <br /> N <br /> RMI <br /> i Q PRC§42951-Waste Tire Hauler Registration and Transport Of Tires O © PRC§42956(c)-Failure to Present Registration to 6mciat <br /> O 0 PRC§42952(b)-Falsely Represents Self as Registered Hauler 0 0 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> Q 0 PRC§42958(a)-Registration/Decal in Vehicle Q 0 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O 0 PRC§42956(b)-Hauler Using an Unregistered Vehicle Q G Other§ <br /> Comments/Driver's Statement: <br /> 13-7 pct' _— <br /> ...��___�.4��.__. - <br /> _.�; - <br /> _�u-5. <br /> a r dr 'Vk r Is s 1 t-t•- s<<,E�i e a i' a.t;sa � rl- <br /> i I pp Ft7 i is F yj*.!F 1'C ' ,,�5Al 5`W �` <br /> 11c4i31' tlfc? firf G l! I r Ff <br /> l x r c <br /> ! fl@t C 1 na rt !{,�O,I�B''ts <br /> �z' �.1.5�.. r...�•#c1�.� 9�IP`L'''�49r�Fi?:7,f; �� i !'.}'�... `.Is,iy ����'1�_41: �v4 «'- Q-r�� {�,�t.-,:�'i.j. ..- ..,.r�r�.,- .Sk�kr <br /> Correct: Incorrect: <br />