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STATE OF CALIFORNIA <br /> CIWMB-541REV9/941 Waste Tire Facility Inspection Report CALIFORNIA INTEGRATED WASTE <br /> MANAGEMENTBOARO <br /> Enforcement Agency: Page of <br /> FACILITY FILE NUMBER PROGRAM CODE INSPECTION DATE TIME IN INSPECTION TIME <br /> LOCAL=L STATE=S MM DD YY (WHOLE HOURS) <br /> 3 i C -7 <br /> TIME OUT <br /> FACILITY NAME RECEIVED BY(OPERATOR) <br /> r <br /> FACILITY LOCATION OWNER <br /> L41 01 L t <br /> INSPECTO INSP TOR SIGNATURE ALSO PRESENT <br /> rI J. I <br /> � . _ _ ./ <br /> THE ABOVE FACILITY WAS INSPECTED FOR COMPL ANCE WITH APPLICABLE SECiIO14S OF DIVISION 30 OF THE PUBLIC RESOURCES CODE(PRC)AND TITLE 14 OF THE CALIFORNIA CODE OF REGULATIONS(CCR). <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V En OF CCNCERN NA= NOT APPLICABLE <br /> TIRE REGULATIONS V A NAI TIRE REGULATIONS V A NA <br /> PERMITS VECTOR CONTROL <br /> PRC 42822-OPERATOR AUTHORIZED BY WTFP(MAJOR) »CCR 17353-VECTOR CONTROL <br /> PRC 42833.OPERATOR AUTHORIZED BY WTFP(MINOR) ( PERMEABLE BARRIER <br /> PAC 42850(a)-OPERATIC,.COMPLIES WITH TERMS OF PERMIT I APPROVED VECTOR CONTROL PLAN <br /> 14 CCA 18426-PER19'" ERY 5 YEARS STORAGE OF WASTE TIRES <br /> RECORDS CCR'7354-STORAGE OF WASTE TIRES <br /> 14 CCR 18432-OPERATIONS PLAN (a) STORAGE UNITS <br /> 14 CCR 18433-EMERGENCY RESPONSE PLAN [ I(b) FIRE LANES <br /> 14 CCA 18447-RECORDS AVAILABLE I I Id FIRE DIST.REQUIREMENTS <br /> FIRE PREVENTION MEASURES [ I(d) DRAINAGE <br /> 14 CCR 17351-FIRE PREVENTION [ 1(e) SLOPE/GRADE <br /> I <br /> ]'(a?COMMUNICATION EQUIPMENT ( I(f) SITING(NEW FACILITIES) <br /> [ I •Ih)FIRE EQUIPMENT ( I(g{ RIM REMOVAL <br /> ICI WATER SUPPLY i PROTECTION FROM RUNOFF OF PYROLYTIC OILS <br /> I I Idl OTHER REQUIREMENTS INDOOR STORAGE <br /> SITE SECURITY 1a CCR 17356-INDOOR STORAGE <br /> 14 CCA 17352-FACILITY ACCESS AND SECURITY OTHER <br /> 1. 1(al SIGNS 4Cf 3 I- d- <br /> i(b) <br /> 1(b) SITE ATTENDANT <br /> CI ACCESS <br /> COMMENTS)USE SMSA FOR ADDITIONAL SPACE) <br /> i <br /> I <br /> i <br /> i <br /> i <br /> SPACE FOR ADDITIONAL COMMENTS,DIAGRAMS,OR NOTES. <br /> 0 17c ll 132 ly IySL— <br /> N <br /> I <br /> 04, <br /> j <br /> Dec <br /> I <br /> DISTRIBUTION- White-CIWMB Pink.IEA Yellow•Ooeralor <br />