Laserfiche WebLink
=-d Waste Tire Stvev- &t: Inspection ReJ*rtR6S# jqWr- <br /> -1�7ii� State of California CIWMB182lNew04104) Inspection Form - Page 2 <br /> California Integrated Waste Management Board <br /> Part C - FaciliWinformation BLUE OR BLACK INK PEN <br /> }Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: - Report = '_ — k 0 o Cl <br /> Number: D <br /> SWIS Inspection Number on the associated Survey form(Page 1) <br /> Number: - - Photos Taken Q Yes St No <br /> Property Owner <br /> Exempt Business Type (Fill if applicable} Permitted Regulatory Status (Fill one) <br /> Q PRC §42823.5-Cement Manufacturing Plant with written verification that the facility qualifies for exemption Q Permitted Q Exempt <br /> Excluded Business Types(Fill if applicable) <br /> Q PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) Excluded Q Unpermitted <br /> 0 14 CCR§18420(a)(2)-Agricultural<5,000 tires incapable of holding water&used for bumpers or ballast Facility Type(Fill one) <br /> 0 14 CCR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises Q Major WTF (>_5,000 Tires) <br /> 0 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> 14 CCR§18420 a 7 & e -Tire dealer storin no more than 1,500 waste tires for 90 da Q Minor WTF (500 4,999 Tires) <br /> Part D - Inspection of Waste Tire Facility <br /> pppjj0.� /".., "�.. <br /> ' • `• 7YD�i J/ '�r..�3 L.� "!i/✓/:/� /�%rig /•� Y %/iJ/"CJrr�/ /i��. <br /> i.. <:' .. . -.• ... - .. " ......� ...- ":�. i / .". ..Gs�.c....u,.l.a«:,.•�.G..ae.:;:.c�.Ui.'wSz� !%>.•/.e.,..G <br /> Permit Requirements Q Q 14 CCR§17352 Site Security <br /> �Q PRC§42824-Major Waste Tire Facility Permit ` O-(a)Signs O (b)Site Attendant O (c)Access <br /> Q Q PRC§42834-Minor Waste Tire Facility Permit LO <br /> 0 14 CCR§17353(a)-Vector Control — <br /> Complies with Terms of Permit O (1)Impermeable Barrier O (2)Approved Vector Plan <br /> 0 0 PRC§42850(a) Q 14 CCR§17354-Storage of Waste Tires Outdoors <br /> 0 Q 14 CCR§18420(a)-Applicable for Permit O (a)Storage Units <br /> Q I 0 14 CCR 111423-Filing Application for Permit O (b) Fire Lanes <br /> Q 0 14 CCR§18432-Operations Plan O (c)Fire District Requirements <br /> 14 CCR§ 18433-Emergency Response Plan O (d)Drainage <br /> Q Q (e)Slope/Grade <br /> Recordkeeping Requirement p (f)siting(New Facilities) <br /> _01 0 14 CCR§18447-Records Available O (g)Rim Removal <br /> 0 0 14 CCR§17351 -Fire Prevention Measures O (h) Protection from Pyrolytic Oil Runoff <br /> O (a)Communication Equipment O (c)Water Supply J(:) o 14 CCR§17356-Indoor Storage <br /> - — <br /> Q (b)Fire Equipment O (d)Other Requirements FacdltyCompliance with NFPA 231D-1989 <br /> Comments <br /> t <br /> X6,6 - <br /> INSTRUCTIONS ON BACK Crfa #r" Incorrect., , P f 15388 <br /> f — <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />