COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

s I I i Waste. Survey and Inspection Repos city/county W Y Mailing Address I '•• Phone Number State of California CIWMB-54(10/03) ,/ PART A—General Information/Survey of Sc�r.V va v��n h Type(check one): 69..Routine ❑Re-inspection ❑Complaint ❑Observation ❑CIWMB Referral ❑CHP Referral ❑Other. =nFacih =SWIS. . `_` _ ...: �lnspected:by :EDat Regulatory Status: : ❑Permitted ❑Excluded,®Exempt❑Unpermitted T1 97 -- File No F , Code of Time: Operattottal Status � % � :.Hauler ID: y❑gtate gcUned L cal: Business/Fa ility Name: Ttre Coant - Type: @Passenger[]Altered®Truck❑OTR �V1Ke. 1 Phone: Storage Type �i ti�� y. r ^' _F. `."0 Address: # ' 3t�"\��/ `'166' Outdoo ❑ltdoor" ContamerM Owner: V►' Ins ectQLlJ�s-e Print): Business Rep: Title: • �Rtile`of Business (cieckau"nacaPPN) :": ...A,� ❑Major WTF(>5,000 tires) ❑Minor WTF(>500 tires) &Waste Tire Location (4500 tires) OL Generator ❑Hauler ❑End-use ;Business Type:(Check all that aPPN} „ € ..,,.�� .._} .-.. B_Tire Dealer [1Retreader ❑Dismantler ElAuto Repair ❑Auto Body []Car Dealer ❑Collection ❑Gas Station ❑Trucking Fleet ❑Shredder ❑Crumb Rubber ❑Other Describe Excfud 'd Business Types(cneckony;HeWPifcanie):' 7-7-77 g 14 CCR§ 18420(a)(3)-Facilities storing less than 500 waste tires(Waste Tire Location). ❑ 14 CCR§18420.(a)(4)-Tire retreading facility with no more than 3,000 waste fires on premises. ❑ 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days. ® 14 CCR§18420(a)(7)8(e)-Tire dealer storing no more than 1,500 waste tires for less than 90 days. If excluded from perms.cprnpiele Parts B and D. If not excluded from permit requirements complete Pars B.C.and D. PART B Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility rre_ ..: a4� ��.1LIKGNDMANIFESTINGREQIRE ., . ❑ r ❑ ❑ PRC§42951 (a)-Waste Tire Hauler Registration and Transport of Tires. ❑ ❑ ❑ PRC—§42953-Contracts with Registered Waste Tire Haulers. ❑ ❑ ❑ 14 CCR§18459.1 (a)(b)(c)-Tire Program ID Number from CIWMB. ❑ ❑ ❑ 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. 111 ❑ ❑ 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities. C] ❑ ❑ 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators. P C—Inspection of Waste Tlre Facility r •«, •• � z[,'"[na ;-[� 14�CCR�9:Z352��Slte'�Sect�'ri _D ".,��_ ?1 1 , Permits Requirements aSr . x �: _ ❑ ❑ ❑ PRC§42824—Major Waste Tire Facility Permit ❑(a)Signs ❑(b)Site Attendant ❑(c)Access ❑ ❑ ❑ PRC§42834—Minor Waste Tire Facility Permit ❑ ❑ ❑ PRC§42850(a)—Complies with Terms of Permit >[? `[2 'E" GCR� 7353� �. ❑ ❑ ❑ 14 CCR§18420(a) —Applicable for Permit ❑ (1)Impermeable Bamer ❑ (2) Approved Vector Plan fi �14tGCR§17354Sford ,. _„ ❑ ❑ ❑ 14 CCR§18423 Filing Application for Permit .[ -[� sC�t ,�,�.,.. �.�,..�,.� ge`�of Waste Tires•Outdoors."� 115M, 11, [1 rert►et�it"s ;" .'.` ❑(a)Storage Units ❑(b)Fire Lanes ❑ ❑ ❑ 14 CCR§18432—Operations Plan ❑(c)Fire District Requirements ❑ ❑ ❑ 14 CCR§18433—Emergency Response Plan ❑(d)Drainage ❑ ❑ ❑ ade 14 CCR§18447—Records Available ❑ le) hong(New Y � r � ❑(f)Siting(New Facilities) [ -0 �[_ 14 CCR§17351�Fire Prevention Measures ❑(g)Rim Removal ❑(a)Communication Equipment ❑(h)Protection from PyrolyUc OU Runoff ❑(b)Fire Equipment r14.GGR§17356 Indoor Storage, ❑(c)Water Supply Facility compliance with NFPA 231D-1989 ❑(d)Other Requirements