COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Ll City/ County Waste i ire Survey and Inspection Report Mailing Address Phone Number State of California CIWMB-54(10/03) PART A—General Information/Survey—`~ mss;. ,-. � Page lzof_ ,777, �' " � INSPECTION 1,StTI2 VISIT' q . ,., ,.- r . ra r im Type(Check one): ❑ Routine ❑ Re-inspection ❑Complaint ❑Observation ❑ CIWMB Referral ❑ CHP Referral ❑ Other: Facility SWIS: Inspected by: Time In: Qate Regulatory Status: File No. TPID: ❑PCounty/City 5; El Permitted ❑ Exclude�Exempt❑Unpermitted Code' Time Out: Total Time: Operational Status: ❑Str Hauler ID: ate Local: Active El Closed El inactive❑ Planned Business!Facility Name: Tire Count: Type: ❑Passenger❑Altered ❑Truck❑ OTR Address: Pon nStorage Type: +_ 4i a/ aB0utdoor,El :C indoo ontainer , r Owner: Inspe or(Please Print): Business Rep: Title: Facility Type:(Check oris} Role of Business:(check all that appi , ❑ Major WTF(>5.000 tires) Q;Minor WTF(>500 tires) ❑ Waste Tire Location (<500 tires) ❑ Generator ❑ Hauler ❑ End-use Business Type:(check all that apply) ❑Tire Dealer ❑ Retreader ❑ Dismantler ❑Auto Repair ❑Auto Body ❑Car Dealer ❑Collection ❑ Gas Station ❑Trucking Fleet ❑Shredder ❑Crumb Rubber ❑ Other:Describe Excluded Business Types(check only If Applicable):' ❑ 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 tires 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)&(e)-Tire dealer storing no more than 1,500 waste tires for less than 90 days. if excluded from permit,complete Parts B and D. if not excluded from permit requirements complete Parts B.C.and D. PART B—Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility V A C HAULING AND MANIFESTING REQUIREMENTS7 r 91 4� ❑ ❑ ❑ PRC§42951 (a)-Waste Tire Hauler Registration and Transport of Tires. ❑ ❑ ❑ PRC§42953-Contracts with Registered Waste Tire Haulers. [D ❑ ❑ 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. ❑ ❑ EJ14 CCR§ 18460.2 -Manifest System Requirements for Registered Waste Tire Haulers. ❑ ❑ El 14 CCR§ 18461 -Manifest System Requirements for Waste Tire End-Use Facilities. ❑ E] E] 14 CCR§ 18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators. PART C —.Inspection of Waste Tire Facility ASTETIRS�,OEtdGFTSTANpRDS a1? int AcASTE T1ttE STOG 'STANDAtD3 Permits Requirements_ -- [ [ [ 14 CCR§17352-Site Security". El El E] PRC§42824—Major Waste Tire Facility Permit ❑ (a)Signs El (b)Site Attendant El (c)Access ❑ ❑ ElPRC§42834—Minor Waste Tire Facility Permit El EJ E] PRC§42850(a)—Complies with Terms of Permit [ E: '[x 14 CCR§17353(a) ,Vector;Control ` x E] E] ❑ 14 CCR§ 18420(a) —Applicable for Permit ❑ (1)Impermeable Barrier ❑ (2) Approved Vector Plan ❑ ❑ ❑ 14 CCR§ 18423 —Filing Application for Permit [" "[� •C'"> 14 CCR§17354-Storage of.Waste Tires Outdoors :F w. Recordkeeping Requirements ❑ (a)Storage Units ❑ El 1:1 14 (b)Fire Lanes 14 CCR§ 18432—Operations Plan ❑ (c)Fire District Requirements ❑ ❑ ❑ 14 CCR§ 18433—Emergency Response Plan ❑ (d)Drainage ❑ ❑ ❑ 14 CCR§ 18447—Records Available ❑ (e)Slope/Grade El (f)Siting(New Facilities) E3 '[ 14 CCR§17351 =Fire Prevention Measures ❑ (g)Rim Removal ❑(a)Communication Equipment ❑ (h)Protection from Pyrolytic Oil Runoff ❑ (b)Fire Equipment [ FE [ 14 CCR§17356 -Indoor Storage ❑ (c)Water Suppiy ❑ (d)Other Requirements Facility compliance with NFPA 231 D-1989