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4700 - Waste Tire Program
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PR0522573
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Last modified
3/31/2020 2:39:41 PM
Creation date
3/31/2020 2:30:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522573
PE
4740
FACILITY_ID
FA0005591
FACILITY_NAME
TIRE & WHEEL OUTLET
STREET_NUMBER
1514
Direction
E
STREET_NAME
MARKET
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15502054
CURRENT_STATUS
02
SITE_LOCATION
1514 E MARKET ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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CField
Tags
EHD - Public
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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Waste Tire Survey and Inspection Report 304 E WEBER AVE 3' FL <br /> •• STOCKTON CA 95202-2708 <br /> State of California (209) 468-3420 <br /> CIWMB-54(10/03) <br /> PART A-General Information/Survey Page_of_�— <br /> INSPECTION ISITE VISIT <br /> � ;, <br /> Type(Check one) ❑ Routine Re-inspection ❑ Complaint ❑ Observation ❑ CIWMB Referral ❑CHP Referral ❑Other: <br /> Facility SWIS: Inspected by: Time In: Date: Regulatory Sta*s: <br /> File No. TPID: i ZJt c' _;,, ❑ County/City C,- ( ❑ Permitted ©Excluded [_1 Exempt❑ Unpermitted <br /> Code: Time Out: Total Time: O erational Status: <br /> Hauler ID: E] State <br /> Active El Closed❑ Inactive El Planned <br /> Local: <br /> Business/Facility Name: Tire Count: Ty <br /> Passenger❑Altered []Truck❑ OTR <br /> Address: Phone: Storage Type: <br /> r- i _ !J.� C1 Outdoor❑ Indoor ' Container <br /> ' L <br /> Owner: Inspector(Please Print): Business Rep: <br /> Title: <br /> G <br /> Facility Type:(check one) I Role f Business:(check all that:apply) <br /> ❑ Major WTF(>5 Clio(.res) ❑ Minor WTF(>soo tires) ❑Waste Tire Location (<500 tires) Generator ❑ Hauler ❑ End-use <br /> Bu mess Type:(check all mai apply) <br /> Tire Dealer ❑ Retreader F-1Dismantler ❑Auto Repair ❑Auto Body (-]Car Dealer (:]Collection <br /> Gas Station ❑ Trucking Fleet ❑ Shredder ❑ Crumb Rubber ❑ Other: Describe <br /> Excluded Business Types(check only ifApplicable): <br /> ❑ 14 CCR§ 18420(a)(3)-Facilities storing less than 500 waste tires(Waste Tire Location). <br /> ❑ 14 CCR§ 18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises. <br /> ❑ 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 storing no more than 1,500 waste tires for less than 90 days. <br /> If excluded from permit.complete Parts B and D If not excluded from permit requirements complete Parts B.C.and D. <br /> PART B- Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility <br /> V A I C I HAULING AND MANIFESTING REQUIREMENTS <br /> ❑ ❑ ❑ I PRC§42951 (a)-Waste Tire Hauler Registration and Transport of Tires. <br /> ❑ ❑ ❑ PRC§42953-Contracts with Registered Waste Tire Haulers. <br /> ❑ ❑ ❑ 14 CCR§ 18459.1 (a) (b)(c)-Tire Program ID Number from CIWMB. <br /> ❑ ❑ ❑ 14 CCR§ 18459.2.1 -Submittal of Manifest Forms and Tire Trip Logs within 90 days. <br /> ❑ ❑ ❑ 14 CCR§ 18459.3 -Retention of Manifest Forms and Tire Trip Logs for 3 years. <br /> ❑ ❑ ❑ 14 CCR§ 18460.2 -Manifest System Requirements for Registered Waste Tire Haulers. <br /> ❑ ❑ ❑ 14 CCR§ 18461 -Manifest System Requirements for Waste Tire End-Use Facilities. <br /> El ❑ El14 CCR§ 18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators. <br /> PART C- Inspection of Waste Tire Facility <br /> V A I C WASTE TIRE STORAGE STANDARDS V A C WASTE TIRE STORAGE STANDARDS <br /> Permits Requirements [ [ [ 14 CCR§17352-Site Security <br /> ❑ ❑ ❑ PRC§42824-Major Waste Tire Facility Permit <br /> ❑ (a)Signs ❑ (b)Site Attendant ❑ (c)Access <br /> ❑ ❑ ❑ PRC§42834-Minor Waste Tire Facility Permit <br /> ❑ ❑ ❑ PRC §42850(a)-Complies with Terms of Permit [ [ [ 14 CCR§17353(a)-Vector Control <br /> ❑ ❑ ❑ 14 CCR§ 18420(a) -Applicable for Permit ❑ (1) Impermeable Barrier ❑ (2) Approved Vector Plan <br /> ❑ ❑ ❑ 14 CCR§ 18423 -Filing Application for Permit [ [ [ 14 CCR§17354-Storage of Waste Tires Outdoors <br /> Recordkeeping Requirements ❑ (a)Storage Units <br /> ❑ ❑ ❑ 14 CCR§ 18432-Operations Plan ❑ (b) Fire Lanes <br /> ❑ (c) Fire District Requirements <br /> ❑ ❑ ❑ 14 CCR§ 18433-Emergency Response Plan ❑ (d) Drainage <br /> ❑ ❑ ❑ 14 CCR§ 18447-Records Available ❑ (e) Slope/Grade <br /> El (f)Siting (New Facilities) <br /> [ ❑ C: 14 CCR§17351 -Fire Prevention Measures ❑ (g) Rim Removal <br /> ❑ (a)Communication Equipment ❑ (h) Protection from Pyrolytic Oil Runoff <br /> ❑ (b)Fire Equipment ETT[ [ 14 CCR§17356 -Indoor Storage <br /> ❑ (c)Water Supply <br /> ❑ (d)Other Requirements Facility compliance with NFPA 231D-1989 <br />
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