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Survey & Inspection Report or <br /> ey Form (Page 1) 4PPage 2 of 3 <br /> Part B - Inspection of Waste Tire Dealer, Generator, and End-Use Facility <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 /> n 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: 12 <br /> (Required for NOV or EXT) <br /> Referred / CalRecycle Enforcement <br /> In Compliance - No Violations <br /> Comments: <br /> h t♦ � B I fix, XZ rX ,� � = = = -• Em ' ��� �? ® <br /> A A (Paragraph Font Family Font Sizes All <br /> Routine waste tire inspection done on this date and the following was noted: <br /> No violations or areas of concern. <br /> Notes: <br /> 1.) Permission to conduct inspection was granted by Edward McNair (Environmental Protection Specialist). <br /> 2.) TPID certificate is in warehouse 6, posted in Louise Rodrigues' desk. <br /> 3.) Waste tires on site were counted directly. <br /> I <br /> Signatures <br /> Inspector's Signature Business Rep's Signature <br /> Upload Inspection Survey PDF <br /> Brows= <br /> Administrative Notes <br /> Message for CalRecycle: <br /> https:Hsecure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveyID=245905&0rga... 2/10/2017 <br />