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,�STATE OF CALIFORNIA Asbestos Containing Waste Disposal Me CALIFORNIA INTEGRATED WASTE <br /> P P <br /> GIWMB-52A(4197) Inspection Report Addendum MANAGEMENT.BOARD <br /> -This inspection report form is to be used in conjunction with the Disposal Site Inspection Report(CIWMB-52) <br /> �� / � /� I^� <br /> Enforcement Agency: J� _ .l O��111/�/ �y J !Il Page_of <br /> —_..-- -- ----- <br /> fAC1LRY FR ENUMBER PROCrRAM CODE DISPEGTiOlE DATE " MEIN INSPECTION TIME <br /> 7 — <br /> {{ <br /> W. _ -- TIME OUT - <br /> FACILITY IOPERATIONNAME in PERATOR OWNER <br /> FACILITY LOCATION IADDRESS (ALSO PRESENT <br /> AA <br /> INSPECTOR INSPECTOR TURE <br /> i <br /> THE ABOVE OPERATIOWFACILIT(WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC RESOURCES CODE{PRC)AND TITLE 14 CALIFORNIA 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 NA NOT APPLICABLE <br /> F PERMITS - — — 1F' A NA <br /> 'PRC 44002 OPERATOR AUTHORIZED BY SWFP � <br /> PRC 44004 SIGNIFICANT CHANGE <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS AND CONDITIONS <br /> 18213(b) PERMIT REVIEW APPLICATION - <br /> 18222-REPORT OF DISPOSAL SITE INFORMATION <br /> �rNEiALtaara 1 <br /> 017897 16-GENERAL STANDARDS <br /> DESIGN AND Q.PIERATRO.s REQU IREMENTS y - <br /> - <br /> 17897.18(a)-DESIGNATED ACW DISPOSAL AREA <br /> - <br /> 17897.18(b)-SITE CONTROL PROGRAM <br /> 17897.18(c)-ACW NOT DISPOSED WITH REFUSE <br /> 17897.18(d)-CONTROL OF VISIBLE EMMISSIONS <br /> 17897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br /> 17897.18(1)-NO COMPACTION PRIOR TO COVER <br /> 17897.18(g)-COVER <br /> 17897.18(h)-COVER FREQUENCY <br /> ADI31TloNl4LQWfiYlIN7ST mm <br /> 17897.19 a -EPA ID NUMBER <br /> 17897.19(b)(1)-ADDITIONAL SITE SECURITY _ <br /> 1.7897.19(b)(1)(A)-CONTINUOS SURVEILLANCE SYSTEM <br /> ----- ---- -- <br /> 17897.19(b)(1)(B)-WARNING SIGN(S) <br /> 17597.20-OPERATOR INSPECTION REQUIREMENTS <br /> �REC£IR[ }CEEPING — - - - - --- --.. — <br /> j 17897.19(b)(2)-DISPOSAL SITE RECORD <br /> �17897.1.9(b)(2)(A)-LAND DISPOSAL RESTRICTIONS <br /> j 17897.19(b)(2)(B)-OPERATING RECORD ---- --- - <br /> 17897.19(b)(3)-FINANCIAL RESPONSIBILITY <br /> 17897.19(c)(1)-CONTINGENCY PLAN <br /> 17897.19(c)(2)-PERSONNEL TRAINING <br /> EXCA1tAT#ON FtEttIEIRE.NIENTS ^� - <br /> .. <br /> 17897.21(b) SUBMIT PLAN FOR APPROVAL TO EA <br /> 17897.21(c)(d)-PLAN PREPARATION AND RESCHEDULED STARTING DATE _ <br /> - -:; - -.:- <br /> QI-l51 RB RNI POST Ct GSURR <br /> —_ _ -:_ _ <br /> 17897.24 COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS <br /> i�THEI : — - - - - - <br /> __..__.__ - _�.._: _. -___ <br /> ❑ IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWM&52)FOR ADDITIONAL INFORMATION <br /> COMMENTS(USE SWIS-03 FOR ADDITIONAL SPACE) a <br /> I <br /> DISTRIBUTION: White CIWMB Pink-LEA Yellow-Operator 97 91149 <br />