Laserfiche WebLink
NJWaste Tire Survey & Inspection Report SURVEY REQUIRED <br /> State of Californla - <br /> CIWMe 1112WasteMana a Inspection Form - Page 2 <br /> California Integrated Waste Management Board <br /> Part C - Facility Information BLUE OR BLACK INK PEN <br /> Business Profile_ - Inspection Details <br /> TPID- Inspection <br /> Site Suffix: I (' 7 ! ( Report <br /> / Number: ` <br /> SWIS Inspection Number on the associated Survey form(Page 1) <br /> Number: / 1 Q /q Photos Taken Is Yes 0 No <br /> Property Owner -- - — -- <br /> �I�ti �Y-� ,, �r► rq 1-1-rj7— 6735' I05V S1�1�1wti,.� 5 ��'1 � cs� 952-� <br /> Exempt Business Type (Fill if applicable) I Permitted Regulatory Status (Fill one) <br /> Q PRC §42823.5-Cement Manufacturing Plant with written verification that the facility qualifies for exemption 0 permitted Q Exempt j <br /> Excluded Business Types(Fill if applicable) <br /> O PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) Excluded 0 Unpermitted <br /> 14 CCR§18420(a)(2)-Agricultural<5,000 tires incapable of holding water&used for bumpers or ballast Facility Type(Fill one) <br /> 0 14 CCR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises 0 Major WTF (..>_5,000 Tires) <br /> 0 14 CCR§18420(a)(6)- Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> 0 14 CCR§18420(a)(7)&(e)-Tire dealer storing no more than 1,500 waste tires for 90 days 0 Minor WTF (500-4,999 Tires) <br /> Part D - Inspection of Waste Tire Facility <br /> V;I: AJ WASTETIRE$'fQpQ 81'ANQARI38' a <br /> Permit Requirements �~ yQ' O ~14 CCR§17352-Site Security <br /> Q 0 PRC§42824-Major Waste Tire Facility Permit O (a)Signs O (b)Site Attendant O (c)Access <br /> Qy <br /> Q Q PRC§42634-Minor Waste Tire Facility Permit _. _Q 14 CCR§17353(a)-Vector Control <br /> Q 0 PRC§42850(a) Complies with Terms of Permit O (1) Impermeable Barrier O (2)Approved Vector Plan <br /> 00 14 CCR§17354-Storage of Waste Tires Outdoors <br /> O O 14 CCR§ 18420(a)-Applicable for Permit O (a)Storage Units <br /> Q O 14 CCR§18423-Filing Application for Permit O (b)Fire Lanes <br /> O 0 14 CCR§18432-Operations Plan O (c)Fire District Requirements <br /> j O (d)Drainage <br /> 101 <br /> 14 CCR§18433-Emergency Response Pian <br /> 0 O (e)Slope/Grade <br /> Reeordkeeping Requirement O (f)Siting(New Facilities) <br /> Q 014 CCR§18447-Records Available O (g) Rini Removal <br /> Q O 14 CCR§17351-Fire Prevention Measures O (h)Protection from Pyrolytic Oil Runoff <br /> O(a)Communication Equipment O (c)Water Supply Q O f 14 CCR§17356-Indoor Storage <br /> Q (b)Fire Equipment O (d)Other Requirements Faclllty Compliance with NFPA 231D-1989 <br /> Comments ✓ C� �3 �I f���r C UC l YLS a `� f '�j 5 T- 4-0 �'>ij <br /> J0 L-.J� _�rDS tiJ e4--1 V"[ i7'^ <br /> g r-e. Slue. W-,115 t'J I+L J— a- --6,L"d ( or-f-io <br /> v�►��'rn� plrrpu5e_5' , �c;� Src�L' f ! \5 cjn0, ea <br /> e, of Yom. Ary <br /> pX f ra.O�T�r 7��?f3 �(rfdC-c-�•JIS /,d v\51 ?iic_ y c A�1!L)" <br /> O K T- <br /> ��O l i- S r �G I�1.e 5�s L �"i►^e—s f <br /> r-t 4 YNO - r►"e-s <br /> INSTRUCTIONS ON BACKCorrects InlArreat N! X �t �h P I 15386 <br /> ■ White Copy.CIWMB Yellow Copy.Operator Pink Copy:LEA <br />