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STATE OF CALIFORNIA <br />CIWMB-188 (New 6104) Closed Disposal Site InspectioortAL <br />Agency. 'I C'C' I ,p <br />Enforcement Aq 'A, , 11 V - � ", �Ij � 1 ", -1, �,A ; � ,I � i \J( , �� <br />CALIFORNIA,INTEGRATED WASTE <br />MANAGEMENTBOARD <br />Page of <br />FACILITY RILE NUMBER/Unit III <br />r= PROGRAM CODE <br />20750 - SITE MAINTENANCE <br />INSPECTION DATE <br />TIME IN <br />INSPECTION TIME <br />21 195 - POSTCLOSURE LAND USE <br />'MONITORING AND CONTROL SYSTEMS <br />LOCALS L STATE S <br />MM <br />DD YY <br />20830 - LITTER CONTROL <br />20919 - GAS CONTROLS <br />21160 - LF GAS CONTROL/LEACHATE CONTACT <br />20919.5 - EXPLOSIVE GAS CONTROL <br />SECURITY <br />20921 - GAS MONITORING/CONTROL <br />4-1 <br />20923 - MONITORING <br />TIME OUT <br />FACILITY NAME <br />21137 - STRUCTURE REMOVAL <br />20931 - STRUCTURE MONITORING <br />RECORDS <br />20932 - MONITORED PARAMETERS <br />RECEIVED BY (OPERA OR) <br />20933 - MONITORING FREQUENCY <br />21170 - RECORDING <br />20934 - REPORTING <br />21200 - CHANGE OF OWNERSHIP # <br />20937 - CONTROL <br />FACILITY LOCATION <br />GRADINGIFINAL OVER <br />21880 - CERTIFICATION OF CLOSURE <br />20650 - GRADING OF FILL SURFACES <br />OWNER <br />21140 - FINAL COVER <br />OTHER <br />21142 - FINAL GRADING <br />C, <br />121145 - SLOPE STABILITY <br />INSPECTOR <br />Ay <br />INSPECTOR SIGNATURE <br />i <br />ALSO PRESENT <br />N t <br />THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC RESOURCES CODE (PRC) AND TITLE 27 CALIFORNIA CODE OF REGULATION (CCR). <br />THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V = VIOLATION A= AREA OF CONCERN NA= NOT APPLICABLE <br />POSTCLOSURE V A NA <br />DRAINAGE AND EROSION CONTROL V A N! <br />20750 - SITE MAINTENANCE <br />20820 - DRAINAGE/EROSION CONTROL <br />21180 - POSTCLOSURE MAINTENANCE <br />21 150 - DRAINAGE/EROSION CONTROL <br />21 195 - POSTCLOSURE LAND USE <br />'MONITORING AND CONTROL SYSTEMS <br />GAS MONITORING AND CONTROL SYSTEMS <br />20790 - LEACHATE CONTROL <br />20918 - EXEMPTIONS <br />20830 - LITTER CONTROL <br />20919 - GAS CONTROLS <br />21160 - LF GAS CONTROL/LEACHATE CONTACT <br />20919.5 - EXPLOSIVE GAS CONTROL <br />SECURITY <br />20921 - GAS MONITORING/CONTROL <br />20530 - SITE SECURITY x <br />20923 - MONITORING <br />21135 - SECURITY AT CLOSED SITES <br />20925 - PERIMETER MONITORING NETWORK <br />21137 - STRUCTURE REMOVAL <br />20931 - STRUCTURE MONITORING <br />RECORDS <br />20932 - MONITORED PARAMETERS <br />21 130 - EMERGENCY RESPONSE PLAN <br />20933 - MONITORING FREQUENCY <br />21170 - RECORDING <br />20934 - REPORTING <br />21200 - CHANGE OF OWNERSHIP # <br />20937 - CONTROL <br />CLOSURE PLANS <br />GRADINGIFINAL OVER <br />21880 - CERTIFICATION OF CLOSURE <br />20650 - GRADING OF FILL SURFACES <br />21890 - REVISION OF APPROVED PLANS FOR C/PC MAINT <br />21140 - FINAL COVER <br />OTHER <br />21142 - FINAL GRADING <br />C, <br />121145 - SLOPE STABILITY <br />uummmw I zo tuot umwo a rull AQUI I IVINIAL OrALt) <br />,e 4 C4i <br />vc <br />A <br />46 <br />N-� <br />Li L 4e v/\ <br />C, <br />/,J <br />Ay <br />3f <br />i <br />% Ak <br />k1\1 <br />DISTRIBUTION: TOP - CIWMB MIDDLE - EA BOTTOM - OPERATOR <br />