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HAULER OBSERVATION REPORT <br /> CalRecycle Stare of Califomia <br /> Y CalRecycle 775(New 2/14) <br /> D�p, R.rydh.g and Rea ,n BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> ❑ TPID-not available/not applicable <br /> Observation during inspection at: <br /> TPID- 1 0 0 0 8 0 1 — 0 1 ✓❑ Generator ❑End—Use Facility ❑Other: <br /> Vehiclem TPID- 1 5 8 914 6 9 _ 0 1 <br /> Plate State I F-1Observationin transit <br /> Decal I Observation by Inspector <br /> Numberm �m 3 9 - 1 0 1 Ben Escotto <br /> (If Applica- <br /> ❑ Hauler Exempt: Observation Date <br /> ❑ Hauler name&address not known <br /> Observation Time <br /> Hauler <br /> Bridgestone Americas Tire Operations, LLS 0 AM <br /> 1 1 <br /> Hauler Address 223 ; 2 5 ® PM <br /> Street Bellevue Ave. ENFORCEMENT STATUS <br /> City State Zip Code ❑ Notice of Violation <br /> Santa Rosa CA 95407 <br /> Compliance Deadline <br /> Driver's Name D.O.B. f l� <br /> Location of Observation <br /> ❑ Referred/CalRecycle, Tire Hauler Compliance Unit <br /> Street <br /> For more information concerning Waste/Used Tire <br /> City State Zip Code Hauling & Manifesting, please call the Waste Tire <br /> Tire Load Count ❑ Hotline at(866) 896-0600. <br /> (used+waste) <br /> Part B - <br /> V A Hauler/Manifest Requirements V A Hauler/Manifest Requirements <br /> ® © PRC§42951-Waste Tire Hauler Registration and Transport of Tires ® ® PRC§42956(c)-Failure to Present Registration to Official <br /> ® 0 PRC§42952(b)-Falsely Represents Self as Registered Hauler ® ® 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> ® ® PRC§42956(a)-Registration/Decal in vehicle ® ® 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O 0 PRC§42956(b)-Hauler Using an Unregistered Vehicle o ® Other§ <br /> Comments/ Driver's Statement: <br /> On 1/6/17, a routine waste tire inspection was conducted at TCI Leasing (TPID:1589469-01) <br /> located at 2150 W. Charter Way, Stockton, CA 95206. The business uses GCR (Bridgestone <br /> Americas Tire Operations, LLC) as their registered waste tire hauler (TPID: 1000801-01). During <br /> the manifest review part of the inspection, seven manifests (CTLs) were observed that were not on <br /> the WTMS. The date range for the manifests were from 2/26/16-9/27/16. It has been over 90 days <br /> for all seven of the load shipments. <br /> Since it has been over 90 days for the load shipments, it can be determined that the hauler did not <br /> submit the manifests to CalRecycle. Attached are copies of the seven referenced manifests. This <br /> Hauler Observation Report is being completed for follow-up by CalRecycle. <br /> Comment Form ❑ jol I, )'7b <br /> Photos ❑✓ SI&( <br /> Driver's Signature Phone Number Ins tor's Signature Pho1ne Number <br /> Correct : Incorrect: X <br />