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Survey & Inspection Report - ' -vey Form (Page 1) 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 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 s In Compliance - No Violations Comments: l X 11� 1b B 1 u -& X, Xz 1X_i = = = = 1 ._ Uig G? EE A A l Paragraph Font Family Font Sizes 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 was granted by Wes Hieb (Plant Manager). 2.) TPID certificate is posted in the hall way of the office. 3.) No waste tires observed on site. 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?SurveyID=244176&Organi... 1/5/2017