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4_ OfCAtIFORNIA l "'Asbestos Containing Waste Disposal. CALIFORNIA INTEGRAI ED WASTE ` Inspection Report Addendum MANAGEMENT BOARD , Th' pection re It form is used In conjunction with the DisFos Site s n Rs I t IB-5 J /f Enforcement Agency a C)q �� V\N r O>n�t�t _ � �� P Page!_� FiLCll RY F7LE NUMBER ## PRO�rRi1M CODE "��ISPECn DATE TIME IN INSPECTIpN TIME .�StA"{� S MM DD YX< l TIME OUT - — FACILITY/OPERATION NAME R BY RATOR OWNER 0q 1 �Qrwt��CJS--�Y�G •-- -- FACILITY LOCATION I ADDRESS \ ALSO PRESENT INS2E(.TOR-r_ INSPECTOR SIGNATt } 1 THE ABOVE OPERAT FACILITY WAS INSPECTED FOR COMPLIANCE PLICABLE SEC f N3NF1Tt -RESOURCES CODE tPRC)AND TITLE 14 CALIFORNIA CODE OF REGULATIONS(CCR).- I THE STANDARDS BELOW ARE CONSIDERED IN COMPLIAN THE MARKED WITH ONE OF THE FOLLOWING: V=VIOLATION A=AREA OF CONCERN NA=NOT APPLICABLE �pERMIT3 - — - -- - - -- A k s � --- - - PRC 44002-OPERATOR AUTHORIZED BY SWFP PRC 44004-SIGNIFICANT CHANGE I_ PRC 44014(b)-OPERATOR COMPLIES WITH TERMS AND CONDITIONS I18213(b) PERMIT REVIEW APPLICATION 18222 REPORT OF DISPOSAL SITE INFORMATION _- GI=ME#A1,5�AkCtAtt;!S t u 417897 16 GENERAL STANDARDS - j DESI.fihi AMD t PERATH+IG REQUIREMENTS � t ..._ _ .. - 17897.18(a)_DESIGNATED ACW DISPOSAL AREA i 17897.18(b)-SITE CONTROL PROGRAM '. 17897.18(c)-ACW NOT DISPOSED_WITH REFUSE 17897.18(d)-CONTROL OF VISIBLE EMMISSIONS _ - 11789718(e) MAINTA INTEGRITY OF CONTAINERS AND/OR PACKAGING 17897 18(17 NO CO T�N OR TO COVER t - - -- - - - - -- -- _ - ' �897.18(9)-COVER � ,:--- - --... ----- - 17897.18(h)-COVER FREQUENCY ADDITIONAL REtUIREMEIVTS T i �17$97.19(a)-EPA ID NUMBER 17897.19(b)(1)-ADDITIONAL SITE SECURITY 17897.19(b)(1)(A)-CONTINUOS SURVEILLANCE SYSTEM -- - - ---- - 117897 fi9(b)(1)(B) WARNING SIGN(S) - r1 X897:20-OPERATOR INSPECTION REQUIREMENTS _ 1 I R1EC4RD lCIrEPIMG _ _ _ _ L SITE 117897.19(b)(2)(A)4LAND ADISPOSAL CRESTRICTIONS-- ----- ------_._._-- --------- --__-_- --_-- ---___-- --_-_7_ -- �17897.19(b)(2)(B) OPERATING RECORD _ 17897.19(b)(3)-FINANCIAL RESPONSIBILITY 17897.19(cx1)-CONTINGENCY PLAN - 117897 19(Cx2)—PERSONNEL TRAINING - - -- I EXCAVAT1014 REQUIREMENTS - - - - -� -- 17897.21(b)-SUBMIT.PLAN FOR APPROVAL TO EA 17897 21(c)(d)-PLAN PREPARATION AND RESCHEDULED STARTING DATE i ICLO.SURE AND POS CLOSU . ,17897.24-COMPLIANCE WITH CLOSURE/POST-- - - - - - E/POST CLOSURE REQUIREMENTS - - - - - - OTHER. T .T I IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWMB52)FOR ADDITIONAL INFORMATION (USE SWISA3 FOR ADDITIONAL SPACE) - �COMMENTS - -- - L � fa } - -�- ✓� kT�szh.�a��s,7"�-��'�e��s�c�2-- �2�� ---ter' �i''�tt�;-- - ' I , DISTRIBUTION: White-CIWMB Pink-LEA Yellow-Operator 97 91149