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ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY Waste Tire Survey and Inspection Report 304 E WEBER AVE 3"D FL L STOCKTON CA 95202-2708 State of California (209) 468-3420 CIWMB-54(10/03) PART A—General Information/Survey Page 1 of Z INSPECTIONS.. Type(Check one): ®Routine ❑ Re-inspection ❑Complaint ❑Observation ❑CIWMB Referral ❑CHP Referral ❑Other: FaciUty='.= SWIS w Inspected by.-3; Time In: Date ' Regulatory Status: File No TPID. �,'Z�}4 —� ®County/City, �, ❑Permitted Excluded BExempt❑Unpermitted Hauler ID: Q 9�te Time Out: tai Time: Operational Status r Local: ®Active❑Ciosod❑lnachve❑Planned Business/Facility Name: Tire Coant:- T [Passenger[-]Altered❑Truck❑OTR treS Address: Phone: Storage Type: f S to 7 Outdoor❑Indoor❑Containers DIIer; Ins a or(Please Print): Business Rep .��oo Title: �'(CMckone} y. USi11eSS: dheckailttu r t. Facility Ty'pe'- a 3 Rote of B' ( tappry} =r., .14V ❑Major WTF(>s.000 ores) ❑ Minor WTF(>soo tires) �]C Waste Tire Location (�soo ores) [ Generator 1Hauter ❑ End-use Business Type:(ch-kall dutapplY) }+: ;. - = i �:• "a '� `'�• Tire Dealer ❑ Retreader ❑ Dismantler ®.Auto Repair ❑Auto Body ❑Car Dealer []Collection ❑ Gas Station ❑Trucking Fleet ❑Shredder ❑Crumb Rubber ❑ Other.Describe Excluded Business Types(check ony IfApplicabie)c` s 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,corrviete 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 ror, [•C �-` VHAl]I NG AND MAN IFESTINGREQUIREMENTS- �• '•"❑ ❑ PRC§42951 (a)-Waste Tire Hauler Registration and Transport of Tires. ❑ ❑ PRC§42953-Contracts with Registered Waste Tire Haulers. ❑ ❑ 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. ❑ ❑ ❑ 14 CCR§18460.2 -Manifest System Requirements for Registered Waste Tire Haulers. ❑ ❑ ❑ 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities. ❑ ❑ ❑ 14 CCR§18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators. PART C—Inspection of Waste Tire Facility ftiO .GWXA D¢RD ri �`g .Permits;Reyulremen � [�?'a[*' 4�R§17352=Sitd'SecuritjlMill. r ❑ ❑ ❑ PRC§42824—Major Waste Tire Facility Permit ❑(a)Signs ❑(b)Site Attendant ❑(c)Access ❑ ❑ ❑ PRC§42834—Minor Waste Tire Facility Permit ❑ ❑ ❑ PRC§42850(a)—Complies with Terms of Permit "(? `[* s 4 CCR§-17353(a) Ye Control t too14 CCR§18420(a) —Applicable for Permit ❑ (1)Impermeable Barrier ❑ (2) Approved Vector Plan ❑ 14 CCR§18423 —Filing Application for Permit [ [^ t4_CCR§17354 `Sto`Mg :§f;WasteTiresOutd(a)Storage Units ❑ (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 ❑ (f) hong(New❑ (f)Siting(New Facilities) 14 CCR 17351,=Fire'I?revetition Measures 4x ;'�"); ❑ (g)Rim Removal § ❑(a)Communication Equipment ❑ (h)Protection from Pyrolytic Oil Runoff ❑(b)Fire Equipment [ [ ;[' '14 CCR§17356 -Indoor'Storage E] (c)Water Supply [I (d)Other Requirements Facility compliance with NFPA 2310-1989