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- ----- - - ---- <br /> t ----------- <br /> ----- -- ------ ---------- - -- --------_--- — .... <br /> .... . ...............i ... ........ ..... <br /> ...... ........ ... <br /> Observation Report Number <br /> HAULER OBSERVATION REPORT <br /> Stec ofCalibrTAR I 1H-XXKXXXX <br /> CalRecycle * <br /> Cd9=Y'Cldxxx(RV=) BLUE ORBLACK INK PEN <br /> 0 TPID-not ava'ilable/not applicable Observation during inspection at: A�ee`S <br /> 0 Generator 0 End--Use Facility 0 Other: <br /> TPID- TPID= 11 -61-7 10 <br /> Vehicle � �Tj &,-I I I I State 0 Observation in transit <br /> Plate observation by Inspector <br /> Decal <br /> . I - F 7 <br /> Number EU M& L L �i <br /> (IlApplicable) observation Date -1/ / FU <br /> 0 Hauler Exempt F-T <br /> Observation Time <br /> Hauler Name 0 AM <br /> 0 <br /> Hauler'Address <br /> street <br /> CA <br /> state Zip Code <br /> C1 <br /> Driver's Name D.O.B. <br /> Location of Observation <br /> Street <br /> rz7p e—A more inform' ation concerning Waste/L7Sed Tire <br /> city state Zip Code Hauling&Manifesting,please call the Waste Tire <br /> Hotline at 866) 896-0600. <br /> Part jB - � <br /> 0 -9 PRC§42951-waste Tire Hauler Registration and Transport ofTires 0 0 PRC§429515(q)-Failure to present Registration to Official <br /> 0 0 PRC§42952(b)-Falsely Represents Self as Registered Hauler 0 0 14 CCR§.18456.4—Failure to Abide by Temporary Registration <br /> 0 0 PRC§42956(a)-Registrabon/Decal in Vehicle 0 0 14 CCR 5 18459 Hauler Complying with Manifesting Requirements <br /> 0 :0 PRC§42956(b)-Hauler Using an Unregistered Vehicle 0 0 Cither§ <br /> Comments Driver's Statement: <br /> _w----------- <br /> A <br /> ug� <br /> a _ ( ..t ` s:� ! r:Lr.L t t�i�FiicS ,'c„>1 �4 by r��'Q'(1 Y. ` a Oki 15 !M;kri <br /> ge <br /> Correct: Incorrect: <br />