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Survey & Inspection Report Orvey Form (Page 1) 0 Page 2 of 3 Part B - Inspection of Waste Tire Dealer, Generator,and End-Use Facility Part B - Inspection of Waste Tire Dealer, Generator, Hauler, and End-Use Facility V A I 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 14 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 14 CCR § 18461 - Manifest System Requirements for Waste Tire End-Use Facilities 14 CCR § 18462 - Manifest System Requirements for Waste Tire Generators Other 14 CCR § ENFORCEMENT STATUS Notice of Violation Extension Compliance Deadline: (Required for NOV or EXT) Referred / CalRecycle Enforcement ®In Compliance - No Violations Comments: l h r► LI u x' 1x - - - _ - 3 ER 9E l A H Paragraph Font Family Font Sizes Li ' �.� I Routine waste tire inspection done on this date and the following was noted: No violations or areas of concern Notes: 1. Permission to conduct inspection given by Mark Morgan, Service Manager. 2. Inspection was done with Miguel Gallo, Parts Manager. 3._A direct count was-used,in counting the tires. Signatures Inspector's Signature Business Rep's Signature Upload Inspection Survey PDF Browse... Administrative Notes Message for CalRecycle: https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=244189&Organi... 1/9/2017