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HAULER OBSERVATION REPORT observation Report Number <br /> I <br /> calRecycle sw"O" IH-XXXXXXX <br /> CdReqcle XXX(Ittv x=) <br /> NpL Me—R-YzUk&-dR--Y BLUE OR BLACK INK PEN <br /> ANSTORESTE 'f"'Affl I MWEL" <br /> 0 TPID-not available/not applicable <br /> 0 Observation during inspection at <br /> A Generator 0 End-Use Facility 0 Other. <br /> TPID- I 110 10 1.7, 16 1 Lj I D-]-[�T <br /> Vehicle 1 <br /> Plate State 0 Observation in transit <br /> Decal Observation by Inspector <br /> Number EF] 1. F7 T Q <br /> (Uppticable) F3T il i TWI i <br /> Observation Date FUT <br /> 0 Hauler Exempt <br /> Hauler Name Observation Time <br /> L0 AM <br /> Hauler Address Lim's <br /> Street (04 (A S <br /> City State O(L Code <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> Street <br /> For more infonnatibn concerning Waste/Used Tire <br /> city State Zip Code <br /> Hauling&Manifesting,please call the Waste Tire <br /> -0-w Hotline at(866) 896-0600. <br /> s <br /> Part 13 - <br /> 02 <br /> M *M;LAV-11 W�1 -I Y" <br /> -ang 0='Huff . " <br /> 0 0 PRC§42951-Waste Tire Hauler Registration and Transport of Tires 00 PRC§42956(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§42958(a)-Registration/Decal in Vehicle E) 0 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> 0 0 PRC§42956(b)-Hauler Using an Unregistered Vehicle 9 0 Cither§ 1%459-a SjkYJAAI (,�C7rL-. LZifljil 0&IS <br /> Comments I Driver's Statement: <br /> Xoc'- <br /> P'C-:h -7:k GIU-A <br /> MIA n' Us A fc--, C'5 5u�W-4.b <br /> .......CDJA.' <br /> 134 A <br /> N <br /> 1A <br /> MIX% <br /> 0 e. 4 <br /> 'A <br /> k4l <br /> Arm <br /> ONT,Pel C <br /> ,9 a <br /> Correct: Incorrect: <br />