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TPS` U.11y_ C San Joaquin Couriv -W <br />� Environmental Health Department <br />a Y\ , ?< 304 E. Weber Avenue, third floor <br />N: <br />n Stockton, CA 952002-2708 <br />v Phone: (209) 468-3420 <br />4�rFpRFax: (209)464-0138 <br />File Number nspe ion Date <br />(-,omoanv Name <br />r04z4- <br />PART A - SurVE <br />Waste Tire Generator <br />Official Surivey and <br />Inspection Report <br />Time In Time Out I Inspection Time <br />Regeived qy perator) A . <br />Owner / <br />�e r ignat re Also Pre se t <br />L;'SAr i N <br />Page 1 of <br />Exclusion Criteria <br />Registration #: .. ( Address:` <br />Hauler Name e <br />/`ifJa; 1 <br />PART B — Inspection <br />The standards referenced below are considered in compliance unless marked with one of the following.' V=violation; A=area of concern; <br />rvA=nor a ti,- . <br />TIRE REGULATIONS V I A NA <br />PERMITS <br />PRC 42822 O erator Authorized By WTFP (Major) <br />PRC 42833 O erator Authorized B WTFP (Minor) <br />PRC 42850 a) O erator Com lies With Terms of Permit <br />14 CCR § 18426 Permit Renewed Every 5 Years <br />RECORDS <br />14 CCR 18433 Emergency Response Plan <br />14 CCR 17354 (a Storage Units <br />14 CCR 17354 b Fire Lanes <br />14 CCR 18447 Records Available <br />14 CCR 17354 (d) Drainage <br />14 CCR 17354 e) Slo e/Grade <br />FIRE PREVENTION MEASURES <br />14 CCR 17351 Fire Prevention <br />14 CCR17351 (a) Communication Equipment <br />14 CCR 1735 b) deuate Fire Equipment <br />14CCR 17351 e Water Su I <br />14 CCR 17351 (d Other Requirements <br />FACILITY ACCES AND SECURITY <br />14 CCR § 17352 Facility Access And Security <br />14 CCR 17352 (a) Signs <br />14 CCR 17352 b) Site Attendant <br />14 CCR § 17352 (c) Access <br />I <br />TIRE REGULATIONS V A NA <br />VECTOR CONTROL <br />14 CCR 17353 Vector Control <br />14 CCR 17353 a)(1) Im ermeable Barrier <br />14 CCR 17353 a)(2) Approved Vector Control Plan <br />STORAGE OF WASTE TIRES <br />14 CCR § 17354 Storage Of Waste Tires <br />14 CCR 17354 (a Storage Units <br />14 CCR 17354 b Fire Lanes <br />14 CCR § 17354 (c) Fire Dist. Requirements <br />14 CCR 17354 (d) Drainage <br />14 CCR 17354 e) Slo e/Grade <br />14 CCR 17354 (f) Siting (New Facilities) <br />14 CCR 17354 ( ) Rim Removal <br />14 CCR 17354 h) Runoff Of P rol tic Oil <br />INDOOR STORAGE <br />14 CCR 17356 Indoor Stora e <br />MANIFEST SYSTEM <br />14 CCR 18462 a) Hauled By Registered Hauler <br />14 CCR § 18462 b) Manifest <br />PRC=Public Resources Code. 14 CCR=Title 14 of California Code of Regulation. See reverse for description of appucaoie or iaw5 aiiu I �yu— — �. <br />:OMMENTS: att'� <br />% <br />tps64 DUo =1 <br />Jr' //Z, <br />A AN <br />White Copy: LEA Carbon Copy: Operator <br />