COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Waste hire Survey and Inspection Report City/ county S' P p Mailing Address Phone\umber State of California CIWMB-54(10/03) ` PART A—General Information/Survey Page of - lNSPECTIONI SITE VISIT Type(check one) Routine ❑Re-inspection ❑Complaint ❑0--servation ❑ CIWMB Referral ❑CHP Referral ❑ Other. Facility WS: Inspected by: Time In: Dat Regulatory St�aatyys: File No. TPID: ZS -t' ElCounty/City ]!� G ❑Permitted p'Excluded❑ Hauler ID: El State Exempt❑ Unpermitted Code: Time Out: TotalTime: O tional Status: Local: Active❑Closed❑Inactive❑Planned Business/Facility Name: Tire Count: TY P i C y3 Iassenger❑Altered❑Truck❑ OTR 1dr'►t ca 00 Address: _ Phone: Storage Typ Zoy _q — Ind oor Container ❑ Owner: Inspector(Please Print): Business Rep: DO-5 • ��, Title: �— Facility Type:(Check one) Role Of Busineis:(Check all that apply) ❑ Major WTF(>5,000 tires) ❑Minor WTF(>500 tires) ❑Waste Tire Laation (<500 tires) Generator ❑ Hauler ❑ End-use Business Type:(check all that apply) Tire Dealer ❑ Retreader ❑ Dismantler ❑Auto Reoair ❑Auto Body ❑Car Dealer ❑Collection ❑ Gas Station ❑Trucking Fleet ❑Shredder ❑ Crumb Rubber ❑ Other: Describe Excluded Business Types(Check only if Applicable): ❑ 14 CCR§ 18420(a)(3)-Facilities storing less than 500 waste tires '.'/aste Tire Location). ❑ 14 CCR§ 18420(a)(4)-Tire retreading facility with no more than 3 :-:0 waste tires on premises. ❑ 14 CCR§ 18420(a)(6)-Auto dismantler storing no more than 1.51: Naste tires for less than 90 days. 14 CCR§ 18420(a)(7)&(e)-Tire dealer storing no more than 1.5C: Naste tires for less than 90 days. If excluded from permit,complete Parts 8 and D If not excluded from permit requirements cc-:e'e F E,-3 9 C and D. PART B— Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility V A C' `HAULING ANQ MANIFESTING REQUIREMENTS . . .. Qs;�F k' ❑ ❑ ❑ PRC§42951 (a)-Waste Tire Hauler Registration and Transcort of Tires. ❑ ❑ ❑ PRC§42953-Contracts with Registered Waste Tire Haule s ❑ ❑ ❑ 14 CCR§ 18459.1 (a)(b)(c)-Tire Program ID Number frorr CM/MB. ❑ ❑ ❑ 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 T-p Logs for 3 years. ❑ ❑ ❑ 14 CCR§ 18460.2 -Manifest System Requirements for Reg stered 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 00 AJ$a ,. WAST"RE�STORA„CaE""DARDS v N> .k .<G ASW41REVQ. R Permits Requirements [ [ [ 14 CCR§17352-Site Security ❑ ❑ ❑ 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 [ [ [ 14 CCR§17353(a)-Vector Control ❑ ❑ ❑ 14 CCR§18420(a) -Applicable for Permit ❑ (1)Impermeable Barrier ❑ (2) Approved Vector Plan ❑ ❑ ❑ 14 CCR§ 18423 -Filing Application for Permit [ [ [ 14 CCR§17354-Storage of Waste Tires Outdoors Recordkeeping Requirements ❑(a)Storage Units ❑ ❑ ❑ 14 CCR§18432-Operations Plan ❑(b)Fire Lanes ❑(c)Fire District Requirements ❑ ❑ ❑ 14 CCR§ 18433-Emergency Response Plan ❑(d)Drainage rEll 14 CCR§ 18447-Records Available ❑(e)Slope/Grade (f)Siting(New Facilities) 14 CCR§17351 -Fire Prevention Measures El(g)Rim Removal (a)Communication Equipment E:1 (h)Protection from Pyrolytic Oil Runoff (b)Fire Equipment [ [ [ 14 CCR§17356 -Indoor Storage F1 (c)Water Supply ❑ (d)Other Requirements Facility compliance with NFPA 231 D-1989