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' STAOFCAII)F'ORNIA Asbestos Containing Waste Disposal Si CALIFORNIA INTEGRATED WASTE Inspection Report Addendum - =MANAGEMENT BOARD l' This Ins�pBlction report form is to beused m c/o cction with the Disposal Site Inspection Report(CIWMB-52) Enforcement Agency 7� C�LAN (�!ti t l Page �FACItITYF1L E NUMBER pRdGRAM COdE NISPECTION HATE - TIME IN -- INSPECTION TIME f s ' y ( LOCAL L 37;'tZS i � I TIME OUT FACILITY'/OPERATION NAME -- --- -— — — O � ---_-_--- -- —_ REC BY OPERATOR OWNER i FACILITY LOCATION I ADDRESS !ALSO PRESENT �S> Cw�_�?A t vl-ca, 141)U1*.J F XC'*4Ak INSPECTOR I IN TARE C—t It S e VAeS THE ABOVE OPERATIONIFACILITY WAS INSPECTED FOR COMPL WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC.RESOURCES CO t -- 1 DE(PRC)AND TITLE 14 CALIFORNIA CODE OF REGULATIONS(CCR).' 1 THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING:V=VIOLATION A=AREA OF CONCERN NA NOT APPLICABLE . _ -- -- PERMlfS _ Y q PRC 44002-OPERATOR AUTHORIZED BY SWFP PRC 44004-SIGNIFICANT CHANGE - PRG --- -- - - 4014(b)-OPERATOR COMPLIES WITH TERMS AND CONDITIONS 18213(b)-PERMIT REVIEW APPLICATION i 18222-REPORT OF DISPOSAL SITE INFORMATION . ��R4L 81' IDARI?S - .117897 16 GENERAL STANDARDS _ _ DE'altaN 0.Cl .e iN�REQ[IIREM£f+ITS - f17897.18(a)- IGNATED ACW DISPOSAL AREA - - - 17897.18(b)- E CONTROL PROGRAM 17897.18(c)-ACW NOT DISPOSED WITH REFUSE 17897.18(d)-CONTROL OF VISIBLE EMMISSION_S _ 117897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING r 1 �17897.18(f)-(`4O COMPACTION PRIOR TO COVER - -' 17897.18(9)-COVER - ,_ -- ---------------------- --- ---- -- ---- ----._.. _ ----------� 17897.18(h)-COVER FREQUENCY -- --- _ f�Tll )ONIAtIw RIUI(tEMI NTS 17�97.19(a) EPA ID NUMBER--- - -:_ - _.- - _ 1 17897.19 b 1 =ADDITIONAL SITE SECURITY 17897_19(b)(1)(A) CONTINUOS SURVEILLANCE SYSTEM 17897.19(b)(1)(B)-WARNING SIGN(S) 1TS97.20-OPERATOR INSPECTION REQUIREMENTS REI�QRD iKEEPING - - - - --- --- ---- - - --- - PIN ---'--= - T 117897.19(b)(2)-DISPOSAL SITE RECORD _ 17897.19(b)(2 ,LAND DISPOSAL RESTRICTIONS - - - -- -- - -- --- -- - -- -- -� r�7 97.19(b)(2)(B) OPERATING RECORD -- - --t 07897.19(b)(3)-FINANCIAL RESPONSIBILITY - A7897.19(cx1)-CONTINGENCY PLAN -- -- -- --T---- �� 17897.19(c)(2)-PERSONNEL TRAINING- JE' CAY/►TICIN::RIEQL)IEtEMENTS _ 17897.21(b)-SUBMIT PLAN FOR APPROVAL TO EA - -- -- --- - -17897.21(c)-(d)-PLAN PREPARATION AND RESCHEDULED STARTING DATE — _ -- _ T CLOSURE AND�'T CUSUM _ _ _ 1789724 COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS - - i! IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWMB-52)FOR ADDITIOMAI.INFORMATION (USE SWIS-03 FOR ADDITIONAL SPACE)— _-- --- ---- ---- - --- - COMMENTS I Lr5t�C' '1t2��t`l.$.-_!?i47 � r DISTRIBUTION: White-CIWMB Pink-LEA Yellow-C"tatoi- 97 91149 _