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■ = 4, Waste Tire Survey & Inspection Report ■ <br /> waste <br /> callfi <br /> GWMe 182 1 Management <br /> Inspection Form - Page 2 <br /> California Integrated Waste Management Boartl <br /> Part C-Facility Information BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> I r Inspection /� /- nJ <br /> Site - ( I 0 ( l 1 0 I Report I - D U lP L/ 1 <br /> Site Suffix: <br /> Number: <br /> SWIS ^ _ - /� Inspection Number on the associated Survey form(Paye 1) <br /> _S/ <br /> Number:Num / 9 Photos Taken 0 Yes 0 No <br /> Property Owner - - - - <br /> Diamond aF Ca FoYn a Nol Ll 1050 S, liapv ld S-t Sfoc"h 04 9s;l <br /> Exemptl8usiness.Typs. (FRI if applicable) Permuted Regulatory Status(Fill one) <br /> Q PRC§42823.5-Cement Manufacturing Plant with written verification that the taclily qualifies for exemption Q Peed O Exempt <br /> Excluded f3uslness Types(Fill if applicable) <br /> Q PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) •Excluded Q Unpennitted <br /> •14 CCR§18420(a)(2)-Agricultural<5,000 fires incapable of holding water 8 used for bumpers or ballast Facility Type(Fill ono) <br /> i <br /> Q 14 CCR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises Q Major WTF (>_5,000 Tires) <br /> Q 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> 14 CCR§18420 a & e-Tire dealer storing no more than 1,500 waste fires for 90 days Minor W TF (500-4,999 Tires) <br /> Part D-Inspection of Waste Tire Facility <br /> Permit Requirements 00 14CCR§17352-Site Security <br /> Q Q PRC§42824-Major Waste Tire Facility Permit O(a)Signs O(b)Site Attendant O(c)Access <br /> Q Q PRC§42834-Minor Waste Tire Facility Permit Q .Q 14 CCR§17353(a)-Vector Control <br /> Q Q PRC§42850(a)-Complies with Terms of Permit -( (1)Impermeable Barrier 0(2)Approved Vector Plan <br /> Q Q 14 CCR§17354-Storage of Waste Tires Outdoors <br /> Q Ip 14 CCR§18420(a)-Applicable for Permit Q(a)Storage Units <br /> Q Q 14 CCR§18423-Filing Application for Permit O(b)Fire Lanes <br /> Q Q 14 CCR§18432-Operations Plan O(e)Fire District Requirements <br /> O Q 14 CCR§18433-Emergency Response Plan O(d)Drainage <br /> _. O(e)Slope(Grade <br /> Record6eping Re uiremettt Q(f)S@hng(New Facilities) <br /> 00 14 CCR§18447-Records Available Q(g)Rim Removal <br /> 0.1.01 14 CCR§17351 Fire Prevention Measures I .. O(h)Protection from Pyrolytic ON Runoff — <br /> O(a)Communication Equipment Q(c)Water Supply 1010 - 14 CCR§17356-Indoor Storage <br /> Q(b)Fire Equipment Q(d)Other Requirements 1^Facility(Compliance with NNFPA 231D-1989 <br /> Comments Mime im e t)f'- 1,i V <br /> t 2.. Shou.(o( j�tewime- OISnIP�e Uill CL <br /> /Vil '-Me-i 7'&-e- t c�e r- '�u - Al ' C i -& Q <br /> _golld GUQS�'e �CIi NO V1,0/a_ti;akis . - - <br /> INSTRUCTIONS ON BACK E?x Ala P�L Iv; 2 .2 15386 <br /> ■ b _ ® ■ <br /> While Copy CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> 0529205.0037 <br />