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STATE OFCAUFORNIA, Asbestos Containing Waste blspos k CALIFORNIAINMEGRATEDWASTE I - CMIM&WAIN"?T MANAGEMENT BOARD I Inspection Report Addendum _ This insp n repo form is to be used in conjunction Di i Sit on eport(CIWMB52) Enforcement Agency: Q/1" �!OQ _ I v I s f oy\ `-- Page)of PAOLITj FILE NUMBER PROGRAM CODE SPEGTiON D/T� �:'TIMF,IN -_ INSPECTION TIME /" LOCAL=L STAT> a5 MM ill YY f } �':: _ .+ F TIME OUT-- - - - - --- ' FACILITY I OPERATION NAME RECEIVED gX ' OPRATOR _.:NER P -- -- — c -L-Z4114 4 FACILITY LOCATION I ADDRESS ALSO PRESENT - i, INSPECTOR INSPECTOR SIG URE r I THE ABOVE OPERATION LITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DNIS 30 OF THE PUBLIC RESOURCES CODE(PRC)AND TITLE 14 CALIFORNIA CODE OF REGULATIONS(CCR). THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS.OTHERWISE MARKED WITH ONE OF THE FOLLOWING:V=VIOLATION A=AREA OF CONCERN NA=NOT APPLICABLE T _ -__ PERM --= Y A.. NA 1 - PRC 44902-OPERATOR AUTHORIZED BY SWFP PRC 44004-SIGNIFICANT CHANGE �I PRC 44014(b)-ORERATOR COMPLIES WITHTERMS AND CONDITIONS 18213(b)-PERMIT;REVIEW APPLICATION 18222-REPOR F DISPOSAL SITE INFORMATION T - GENERAt ST ARDS _ .._. -_ w_ _ _ i 17897 16 GENERAL STANDARDS —� DESI.GR AND OPERATtN6 REQUIREMENTS -: -- —- 17897.18(a)_DESIGNATED ACW DISPOSAL AREA -- � i 17897.18(b)-SITE CONTROL PROGRAM �-- --- i 17897.18(c)-ACW NOT DISPOSED WITH REFUSE �17897.18(d)-CONTROL OF VISIBLE EMMISSIONS t _ 17897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING 17897.18(f)-NO COMPACTION PRIOR TO COVER _ 17897.18(8)-C_OVER 17897.18(h)-COVER FREQUENCY _ r-: T ---m m.._ _ _ ADDIVONAL#t WREMENTS: 17897.19(b)(1)-ADDITIONAL SITE SECURITY -....= -- 17897.19(a) EPA ID NUMBER —j 17897.19(b)(1)(A)-CONTINUOS SURVEILLANCE SYSTEM — 17897.19(b)(1)(B)-WARNING SIGN(S) -- 17-897.20 OPERATOR INSPECTION REQUIREMENTS �RECdRDKEEPING _ _ _ 17897.19(b)(2)-DISPOSAL SITE RECORD - Tr r 17897.19(b)(2)(A)-LAND DISPOSAL RESTRICTIONS I, 17897.19(b)(2)(B)-OPERATING RECORD 17897.19(b)(3)-FINANCIAL RESPONSIBILITY 17897.19(c)(1)-CONTINGENCY PLAN 17897.19(c)(2)-PERSONNEL TRAINING EXCA1/ATION:RE>GiUIREMENTS - — _ _ 17897.21(b) SUBMIT PLAN FOR APPROVAL TO EA 17897.21(c)(d) PLAN PREPARATION AND RESCHEDULED STARTING DATE _ _ — . CLOSURE ANQ POST CL©SURE -- -- -- 17897.24 COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS +�Tll~R - - - - L _.._ _-_ _ : _..__ - ._ 'i IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CI W)FOR ADDITIONAL INFORMATION COMMENTS (USE SWIS-03 FOR ADDITIONAL SPACE) -- -- - - _c I DISTRIBUTION: White CIWMB Pink-LEA Yellow-Operator 97 91149