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Survey & Inspection Report - '-,rvey Form (Page 1) Page 2 of 2 <br /> Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility <br /> V A HAULING AND MANIFEST REQUIREMENTS <br /> ❑ ❑ PRC § 42951 - Waste Tire Hauler Registration and Transport of Tires <br /> ❑ ❑ PRC § 42953 - Contracts with Registered Waste Tire Haulers <br /> ❑ ❑ PRC § 42956 - Hauler Registration/Decal in Vehicle <br /> ❑ ❑ 14 CCR § 18459 - Responsible Entities Complying with Manifesting Requirements <br /> ❑ ❑ 114 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 /> ❑ ❑ 114 CCR § 18462 - Manifest System Requirements for Waste Tire Generators <br /> ❑ 10 1 Other 14 CCR § <br /> ENFORCEMENT STATUS <br /> Notice of Violation OExtension <br /> Compliance Deadline: <br /> (Required for NOV or EXT) <br /> QReferred / CalRecycle Enforcement <br /> *In Compliance - No Violations <br /> Comments: <br /> R A Paragraph Font Family Font Sizes <br /> See attached inspection report. <br /> Signatures <br /> ❑ Inspector's Signature R] Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> , Browse... <br /> Created by: Harprit Mattu 7/13/2016 8:54 AM <br /> Last Updated by: Harprit Mattu 7/13/2016 8:57 AM <br /> Waste Tire Management System htti)s://secure.caIrecycle.ca.00v/WTMS/ <br /> Contact: WasteTiresCcbcaIrecycle.ca.oov 1-866-896-0600 (toll free) <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=235392&0rga... 7/13/2016 <br />