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HAULER OBSERVATION REPORT <br /> CalRecycle c�cyce 775�(Nm 2214) <br /> ;kpl.1R-, .R-hr g-dR..-y BLUE OR BLACK INK PEN <br /> Hauler Profile Observation Details <br /> O TPID-not available/not applicable <br /> (a Observation during inspection at: <br /> Generator O End—Use Facility 0 Other: <br /> TPID- 1 8 0 9 9 6 0 1 <br /> Vehicle State <br /> TPID- 1 0 9 3 7 9 6 _ 0 1 <br /> Plate Q Observation in transit <br /> Decal Observation by Inspector <br /> Number m 3 9 — 1 0 1 Xiong <br /> (If Applica- <br /> O Hauler Exempt: Observation Date <br /> Q Hauler name&address not known <br /> Hauler Observation Time <br /> H.E.R. Trucking Inc 1 1 ; o 0 0 AM <br /> Hauler Address PM <br /> 715 <br /> Street ENFORCEMENT STATUS <br /> Maple Avenue <br /> City State Zip Code O Notice of Violation <br /> Montebello CA 90640 <br /> Compliance Deadline <br /> Driver's Name D.O.B. m <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 /> O O PRC§42951-Waste Tire Hauler Registration and Transport of Tires O O PRC§42956(c)-Failure to Present Registration to Official <br /> 0 Q PRC§42952(b)-Falsely Represents Self as Registered Hauler O Q 14 CCR§18456.4—Failure to Abide by Temporary Registration <br /> 0 O PRC§42956(a)-Registration/Decal in Vehicle O O 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle O O Other§ <br /> Comments/Driver's Statement: <br /> 1.) During the inspection at"City Tire&Wheel" I observed 3 additional manifests form from"H.E.R.Trucking Inc."that were not submitted tD <br /> Cal-Recycle and not fill out completely.The manifests at"City Tire&Wheel"still had the 3 copies(generator's, hauler's, and <br /> Cal-Recycle's). <br /> 2.)Manifests with Comprehensive Trip Number 5993808 B, 5562302 B and 5562100 A and B were not submitted to Cal-Recycle <br /> within the 90 day load shipment. The hauler is not retaining their copy of the manifests. <br /> Comment Form O <br /> Photos <br /> Driver's Signature Phone Number Inspector's Signature Phone Number <br /> Correct : Incorrect: X <br />