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STATE OF CALIFORNIA Asbestos Containing Waste Dispos CALIFORNIA INTEGRATED WASTE <br /> CI4018-52A(4197) inspection Report Addendum - MANAGEMENTBOARD <br /> This Inspection report form Is to be used In gonturl€hon won the Dlspo;a Ite Ins,.Rection Report(CIWMB-52) Y <br /> Enforcement Agency & s r ��t sa>� � <� 'i e `. s r-�_< �� �d — --------—Page'_of <br /> AACILFTY FILE NUMBER : (- PRflGRACODE fNSPECTiON DATE TIME IN INSPECTION TIME <br /> i LOCALm�STATE S MM: DD YY <br /> TIME OUT —-- - - <br /> IFACILITY I OPERATION NAMERECEIVED BY OPERATOR OWNER <br /> rFACILITY LOCATION/ADDRESS a% 4,, `` t! ALSO PRESENT j' 3 <br /> i �� � � :�---__� s .s'R��r;.•5(" 'fi._ } >�'-«� r.'i,,,,.,��f.��>.eA� ;§„rr a�,g L �a e*. «< ��:, r' ,� <br /> INSPECTOR--; rP �.. INSPECTO_RSIGNATt11E <br /> THE ABOVE OPE ION/FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIOEFBYSF DIVISION 30 OF THE PUBLIC RESOURCES00DE:(PRC)AND TITLE 14 CALIFORNIA CODE OF REGULATIONS(CCR) <br /> - - -- -i <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V a VIOLATION A=AREA OF CONCERN NA-NOT APPLICABLE <br /> A NAn <br /> —. <br /> PRC 44002-OPERATOR AUTHORIZED BY SWFP <br /> I <br /> PRC 44004-SIGNIFICANT CHANGE <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS AND CONDITIONS <br /> 18213(b)-PERMIT REVIEW APPLICATION i <br /> 18222-REPORT OF DISPOSAL SITE INFORMATION <br /> jGIsNEi$ALS'TANDARRS <br /> 17897 16-GENERAL STANDARDS <br /> DESI:f3N AND:OPERATING REQUIREMENTS _ _.. =• _.. -- _ <br /> 117897.18(a)-DESIGNATED ACW DISPOSAL AREA <br /> 17897.18(b)-SITE CONTROL PROGRAM { <br /> 17897.18(c)-ACW NOT DISPOSED WITH REFUSE <br /> 11 7897 18(d)-CONTROL OF VISIBLE EMMISSIONS--- - -- -- -'17897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br /> 17897.18(0-NO COMPACTION PRIOR TO COVER <br /> �j <br /> ;17897.18(8)-COVER --j <br /> -897.18(h)18(h)-COVER FREQUENCY <br /> �DITIONAL,ftEQUl1�EMENTS._f <br /> 17897.19(a)_EPA ID NUMBER -' <br /> 117897.19(b)(1)_ADDITIONAL SITE SECURITY <br /> ---- -- --- - - -- - -.. t-1 <br /> 17897.19(b)(1)(A)-CONTINUOS SURVEILLANCE SYSTEM _- <br /> 117897 19(b)(1)(B)-WARNING SIGN(S) - - - --- <br /> 1-897.20-OPERATOR INSPECTION REQUIREMENTS j I <br /> (RECORD KEEPING a <br /> 117897.19(b)(2)-DISPOSAL SITE RECORD <br /> 17897 19(b)(2)(A)-LAND DISPOSAL RESTRICTIONS 1 <br /> 17897 19(b)(2)(B)-OPERATING RECORD T <br /> 17897.19(b)(3)-FINANCIAL RESPONSIBILITY - <br /> - _ --- --- --- - - .. - -- -- - - - - - --� - I <br /> 17897 19(c)(1)-CONTINGENCY PLAN - _ - -- - <br /> 17897 19(c)(2) PERSONNEL TRAINING <br /> E).CGA_VAT{_4.M REQUIREMENT_S - - - -T1 <br /> 117897.21(b)-SUBMIT PLAN FOR APPROVAL TO EA -- - j 1= <br /> 117897.21(c)-(d) PLAN PREPARATION AND RESCHEDULED STARTING DATE <br /> I CL.OSURIE AND POST.CLOSURE - 77 <br /> - - - - 1 L <br /> 117897 24 COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS <br /> OTHER <br /> 1 I <br /> I <br /> - - - -- <br /> -------------- <br /> IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWMB52)FOR ADDITIONAL INFORMATION <br /> COMMENTS <br /> (USE SWIS-03 FOR ADDITIONAL SPACE) - - <br /> -_ - - - _-- ---- <br /> qatC a; <br /> DISTRIBUTION: White-CIWMB Pink-LEA Yellow-Operator 97 91149 <br />