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F California Integrated Waste <br /> State of Californiaanagement Board <br /> CIWMB 52A Asbestos Containing Waste Disposal Site M3 3 <br /> Page—of <br /> (Rev 9/05a Inspection Report Addendum <br /> B1e�R Tbis inspection report Is to be used in conjunction with the Dis sal Site Inspection Report CIWMB 52 <br /> Enforcement Agency:)San Joaquin County Environmental Health Department For Official CIWMB Use Only <br /> I <br /> Received Date 0 <br /> AGILITY FILE NUMBER <br /> INSPECTION DATE(MM/DD/YYYY) <br /> 139-AA-0015 1 104/26/2007. 1 <br /> PROGRAM CODE (Select only one code) Time Inspection Time I I <br /> QLEA Periodic OCIWMB Closed Sites OCIWMB Focused <br /> OL-EA. Focused 0GAWBEnforcement A ent0CIWMB Periodi Time <br /> 9 Out: OAttachments On File(Not Scanned) <br /> Facility Name Ree ' d B (Operator <br /> ,Forward Inc Landfill <br /> Facility LocationOwner <br /> 19999 S.Austin Road, Manteca, CA <br /> Inspector Inspector Signature Also Present <br /> (Robert McClellon I I ' <br /> THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC RESOURCES CODE(PRC),AND TITLE 14 AND TITLE 27 CAUFORMA CODE OF REGULATIONS(CCR). <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING:V=VIOLATION A=AREA OF CONCERN <br /> PERMITS V A ADDITIONAL REQUIREMENTS <br /> V A <br /> PRC 44002-OPERATOR AUTHORIZED BY SWF PERMIT 00 17897.19(a)-EPA ID NUMBER O O <br /> PRC 44054-SIGNIFICANT CHANGE O O 17897.19(b)(1)-ADDITIONAL SITE SECURITY O O <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS&CONDITIONS O O 17897.19(b)(1)(A)-CONTINUOUS SURVEILLANCE SYSTEM O O <br /> 21640-PERMIT REVIEW APPLICATION 00 17897.19(b)(1)(B)-WARNING SIGN(S) - O O <br /> 21600-REPORT-OF DISPOSAL SITE INFORMATION 010 1789720-OPERATOR INSPECTION REQUIREMENTS O O <br /> GENERAL STANDARDS - RECORD KEEPING <br /> 17897.15-SCHEDULES OF COMPLIANCE '" 00 17897.19(b)(2)-DISPOSAL SITE RECORD - 00 <br /> 17897.16-GENERAL STANDARDS 00 17897.19(b)(2)(A)-LAND DISPOSAL RESTRICTIONS O O <br /> DESIGN AND OPERATING REQUIREMENTS 17897.19(b)(2)(B)-OPERATING RECORD O O <br /> `97.18(a)-DESIGNATED ACW DISPOSAL AREA 010 17897.19(b)(3)-FINANCIAL RESPONSIBILITY O O <br /> .d97.18(b)-SITE CONTROL PROGRAM - .010, 17897.19(c)(1)-CONTINGENCY PLAN . . O.O <br /> 17897.18(c)-ACW NOT DISPOSED WITH REFUSE 00 17897.19(c)(2)-PERSONNEL TRAINING O O <br /> 17897.18(d)-CONTROL OF VISIBLE EMISSIONS 00 EXCAVATION REQUIREMENTS <br /> 17897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING 00 17897.21(b)-SUBMIT PLAN FOR APPROVAL TO EA O O <br /> 17897.18(0-NO COMPACTION PRIOR TO COVER - O O 17897.21(c)-(d)-PLAN PREPARATION AND RESCHEDULED STARTING DATE. O O <br /> 17897.18(g)-COVER0O CLOSURE AND POST CLOSURE <br /> 1 . <br /> 17897.18(h)-COVER FREQUENCY 0101 17897.24-COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS <br /> OTHER <br /> O <br /> F IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWMB 52)FOR ADDITIONAL INFORMATION <br /> 01 <br /> O <br /> Comments(Note:for additional or continued comments use the CIWMB 03 or attach additional pages.) <br /> No Violations or Areas of Concern <br /> INSTRUCTIONS ON BACK ;Cr,rectfl1Dt' <br /> Top-CIWMB Middle-LEA Bottom-Operator <br />