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-*- <br /> San Joaquhl � .ar. <br /> �. W aste Tire Generator <br /> 2:• ,�-�d.--, :Z Environmental Health Department <br /> 304 E. Weber Avenue,third floor ` �l Official Survey a n d <br /> ' Stockton,CA 952002-2'708 <br /> = <br /> ' c. P Phone: (209)468-3420 1� �w Inspection Report <br /> q�iFOR�a� Fax: (209)464-0138 <br /> File Numberspect n Date Time In Time Out Inspection Time <br /> 0 <br /> C ny Name Received By(Operator) <br /> l <br /> Addre Owner <br /> e or Sig t e �sosent <br /> PART A- Survey Page 1 of <br /> — <br /> X I Exclusion Criteria <br /> 14 CCR 6 18420(al(11 Waste tires storedldisnosed at a solid waste disposal facility permitted pursuant to Title 14. <br /> 14 CCR S 18420(a)(2) Agricultural oumoses:less than 5.000 waste tires and rendered incapable of holding accumulations of water. <br /> 14 CCR S 18420(a)(3) Facilitv storing less than 500 waste tires <br /> 14 CCR S 18420(a)(4) Tire treadino facility with no more than 3.000 waste tires on premises. <br /> 14 CCR S 18420(a)(6) Auto dismantler storing no more than 1.500 waste tires for less than 90 days. <br /> 14 CCR S 18420(a)(7) Tire dealer storing no more than 1.500 waste tires for less than 90 days. <br /> 14 CCR S 18420(e) Used tire dealer is in compliance with 14 CCR 17225.820 and has fewer than 1500 waste tires in accordance with PRC 42808(cl. <br /> Hauler Name: Registration#: Address: Phone#: <br /> PART B—Inspection <br /> The standards referenced below are considered in compliance unless marked with one of the following:V=violation;A=area of concern; <br /> NA=notapplicable. <br /> V <br /> TIRE REGULATIONS A NA TIRE REGULATIONS V A FNA <br /> PERMITS VECTOR CONTROL <br /> PRC 42822 Operator Authorized B WTFP(Major) 14 CCR 17353 Vector Control <br /> PRC§42833 Operator Authorized B WTFP(Minor) 14 CCR§17353 a)(1) Impermeable Barrier <br /> PRC§42850(a) Operator Complies With Terms of Permit 14 CCR§ 17353 a)(2) A22roved Vector Control Plan <br /> 14 CCR§ 18426 Permit Renewed Every 5 Years STORAGE OF WASTE TIRES <br /> RECORDS 14 CCR§ 17354 Storage Of Waste Tires <br /> 14 CCR§ 18433 Emergency Response Plan 14 CCR§ 17354 a Storage Units <br /> 14 CCR§ 18447 Records Available 14 CCR§17354 b Fire Lanes <br /> FIRE PREVENTION MEASURES 14 CCR§ 17354(c) Fire Dist.Requirements <br /> 14 CCR§ 17351 Fire Prevention 14 CCR 17354 d) Drainage <br /> 14 CCR 17351 (a) Communication Equipment 14 CCR§ 17354 e) Slope/Grade <br /> 14 CCR 17351 (b) Adequate Fire Equipment 14 CCR§ 17354 f) Sitin New Facilities) <br /> 14 CCR§ 17351 (c) Adequate Water Supply 14 CCR§ 17354 ) Rim Removal <br /> 14 CCR§ 17351 (d) Other Requirements 14 CCR§ 17354 h) Runoff Of P rol tic Oil <br /> FACILITY ACCES AND SECURITY INDOOR STORAGE <br /> 14 CCR§ 17352 Facility Access And Security 14 CCR§ 17356 Indoor Storage <br /> 14 CCR§ 17352(a) Signs MANIFEST SYSTEM <br /> 14 CCR 17352(b) Site Attendant 14 CCR 18462 a) Hauled B Re istered Hauler <br /> 14 CCR§ 17352(c) Access 14 CCR§ 18462 b Manifest <br /> PRC=Public Resources Code. 14 CCR=Title 14 of California Code of Regulation. See reverse for description of applicable of laws and regulations. <br /> COMMENTS: <br /> White Copy:LEA Carbon Copy:Operator <br />