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1/10/2017 • Survey & Inspection Report - Survey Form (Pal) <br />PRC § 42956 - Hauler Regis tion/Decal in Vehicle 141W <br />14 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements <br />14 CCR § 18459.1 - Tire Program ID Number and Certificate from CalRecycle <br />14 CCR § 18459.2.1 - Submittal of Manifest Forms and Tire Trip Logs within 90 days <br />14 CCR § 18459.3 - Retention of Manifest Forms and Tire Trip Logs for 3 years <br />14 CCR § 18460.2 - Manifest System Requirements for Registered Waste Tire Haulers <br />14 CCR § 18461 - Manifest System Requirements for Waste Tire End -Use Facilities <br />14 CCR § 18462 - Manifest System Requirements for Waste Tire Generators <br />Other 14 CCR § <br />ENFORCEMENT STATUS <br />Notice of Violation Extension <br />Compliance Deadline: <br />(Required for NOV or EXT) <br />Referred / CalRecycle Enforcement <br />In Compliance - No Violations <br />Comments: <br />h B I Lv I -S x xz Tx 11 m: = FM <br />A Paragraph Font Family Font Sizes II U <br />Routine inspection conducted on this date and the following was noted: <br />No violations or areas of concern. <br />Notes: <br />1.) TPID certificate is posted in the shop office. <br />2.) Waste tire manifests from "David's Rally Wheels" were available for review. <br />Signatures <br />Inspector's Signature Business Rep's Signature <br />Upload Inspection Survey PDF <br />Choose File No file chosen <br />Administrative Notes <br />Message for CalRecycle: <br />®h r► B I I u x xz 1 _Tx ee <br />A A Paragraph Font Family Font Sizes �C <br />https://secure.calrecycle.ca.govMTMSIInspectionISurvey.aspx?Survey]D=244200&OrganizationTPID=1548665&lnspectionlD=&Inspected By=O&Reg... 2/4 <br />