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ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY WastSurvey- and Inspection Report 304 E WEBER AVE 3' FL Waste �ire STOCKTON CA 95202-2708 State of California (209) 468-3420 CIWMB-54(10/03) PART A—General Information/Survey Page of 7- INSPECTION I SITE VISIT Type(check one) Routine ❑ Re-inspect z ❑ Complaint ❑Observation ❑CIWMB Referral ❑CHP Referral ❑ Other: Facility SWIS: Inspected by: Time In: Date: Regulatory Status: File No. TPID:1 714-3A64--Q-(- ❑'County/City 5 Z-7 Erq ❑ Permitted IV Excluded❑ Exempt❑ Unpermitted Code: Time Out: Total Time: Operational Status: Hauler ID: [State p Local: Active❑Closed❑ Inactive❑Planned Business/Facility Name: Tire Count: Type: M.�r f io �21122 �/C WPassenger❑Altered ❑Truck❑ OTR Address: `II Phone: r44,5 q-(cr Storage Type: 7_40s + r �1,, J -- � ,�10utdoor E3 Indoor❑Container Owner: �f t',;�-vr Ins pe or =ease Pnn:: Business Rep: �� 9C�5 ,�. Title: _ Facility ype:(Check one) Role of Business:(check an that apply) ❑ Major WTF i,5000tires) ❑ Minor WTF(>s:,: res ❑Waste Tire Location <sooures Generator ❑ Hauler ❑ End-use Business Type:(check all that apply) Tire Dealer ❑ Retreader ❑ C smantler ❑Auto Repair ❑Auto Body ❑Car Dealer ❑Collection ❑ Gas Station ❑Trucking Fleet ❑ S--edder ❑ 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 fz:lity v:::n no more than 3.000 waste tires on premises. ❑ 14 CCR§ 18420(a)(6)-Auto dismantler storing no more than 1,500 waste ores 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 perm¢ complete Parts B arc D If not excluded f,r cemn,:2_-:rements complete Pa^.s B.C a-^_D. PART B — Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility V A I C HAULING AND MANIFESTING REQUIREMENTS ❑ ❑ ❑ I PRC§42951 (a)-Waste Tire Ha-er Reg.s:ration and Transport of Tres. ❑ ❑ ❑ PRC§42953-Contracts with Re-- s:ered b'laste Tire Haulers. ❑ ❑ ❑ 14 CCR§ 18459 1 (a)(b)(c)-Ti,- grog"-,i ID Number from CIWMB ❑ ❑ ❑ 14 CCR§ 18459 2 1 -Submittal c'Yanifes:Forms and Tire Trip Logs within 90 days. ❑ ❑ ❑ 14 CCR§ 18459 3 Retention O'','anlfes:Forms and Tire Trip Logs for 3 years. ❑ ❑ ❑ 14 CCR§ 18460 2 -Manifest Sysem Recuirements for Registered Waste Tire Haulers. ❑ ❑ ❑ 14 CCR§ 18461 -Manifest Syste- Requirements for Waste Tire End-Use Facilities. ❑ ❑ ❑ 14 CCR§ 18462- Manifest Syste- Requ cements for Tire Dealers c-Waste Tire Generators. PART C — Inspection of Waste Tire Facility V A I C WASTE TIRE STORAGE STANDARDS V A C WASTE TIRE STORAGE STANDARDS Permits Requirements [ [ [ 14 CCR§17352-Site Security ❑ ❑ ❑ PRC§42824-Major Waste Tire=acility Permit ❑ (a)Signs ❑ (b)Site Attendant ❑ (c)Access ❑ ❑ ❑ PRC §42834-Manor Waste Tire =acility Permit ❑ ❑ ❑ PRC§42850(a)-Complies with-e-ms o`Permit [ [ [ 14 CCR§17353(a)-Vector Control ❑ ❑ ❑ 14 CCR§ 18420(a) -Applicable'_Permit ❑ (1)Impermeable Barrier ❑ (2) Approved Vector Plan ❑ ❑ ❑ 14 CCR§ 18423 -Filing Applica:cn for Permit [7E: [ 14 CCR§17354-Storage of Waste Tires Outdoors Recordkeeping Requirements ❑ (a)Storage Units ❑ ❑ ❑ 14 CCR§ 18432-Operations P'._- ❑ (b)Fire Lanes ❑ (c)Fire District Requirements ❑ ❑ 1 ❑ 14 CCR§ 18433-Emergency R_sconse Plan ❑ (d)Drainage ❑ ❑ I ❑ 14 CCR§ 18447-Records Avails='e ❑(e)Slope/Grade ❑ (f)Siting(New Facilities) [ I ❑ [ 14 CCR§17351 -Fire Prevention Measures ❑ (g)Rim Removal ❑ (a)Communication Equipment ❑ (h)Protection from Pyrolytic Oil Runoff ❑ (b)Fire Equipment [ [ [ 14 CCR§17356 -Indoor Storage ❑ (c)Water Supply ❑ (d)Other Req.:irements Facility compliance with NFPA 231 D-1989