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0 0 California Integrated Waste State of CaliforniaManagement Board CIWMB 52A Asbestos Containing Waste Disposal Site Page? of (Rev9/05) Inspection Repo Addendum i nit, map—ni" mpon Is to oe uses in conjunction wnn me Ylsposal one Inspection mopon; (lnWnns oz) EnforcementA eney� :xSan Joaquin County Environmental Department For�(3fFi tat-gjWMI1V*Qnly a w FACILITY FILE'Nt1MBEFtr 1,,,, ,, INSPBCTiON DATE AMM/CYD t i t R cei uei# [late , - �39 AA 0015 I� 10/28/2005 N' -- _ PROGRAM CODS (S+¢lif bnlyQde), Time ctlon Time In _. 5:30 AM spe Facility Name Received By (Operator) I Forward Inc. I I Mailed Facility Location Owner 9999 S. Austin Rd., Manteca I I Inspector In p for Signature Also Present 1 Michael Kith III ill Robert McClellon I THE ABOVE FACILITY WAS INSPECTED FOR COMPI A -04TH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC RESOURCES CODE (PRC), AND TITLE 14 AND TITLE 27 CALIFORNIA CODE OF REGULATIONS (CCR). FHE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V=VIOLATION A=AREA OF CONCERN PERMIT$ �✓a 7777777 r Ioidtl�M mow` iia a „o r PRC 44002 - OPERATOR AUTHORIZED BY SWF PERMIT 00 PRC 44004 - SIGNIFICANT CHANGE 00 PRC 44014(b) - OPERATOR COMPLIES WITH TERMS & CONDITIONS 00 21640 - PERMIT REVIEW APPLICATION 010 21600 - REPORT OF DISPOSAL SITE INFORMATION 00 GENERAL STANO/iRD3 f' R a iI x�� Ir6 yL�;lYr; 17897.15 SCHEDULES OF COMPLIANCE 00 17897.16 -GENERAL STANDARDS 00 DESIGN AN(? QAERRT�N(�ilftEMENTS .. �� a,�i., .a. I 17897.18(a) - DESIGNATED ACW DISPOSAL AREA 010 17897.18(b) - SITE CONTROL PROGRAM 00 17897.18(c) - ACW NOT DISPOSED WITH REFUSE O O 17897.18(d) - CONTROL OF VISIBLE EMISSIONS O O 17897.18(e) - MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING O O 17897.18(0 - NO COMPACTION PRIOR TO COVER O O 17897.18(g) - COVER O O 17897.18(h) - COVER FREQUENCY O O O O ON i7ri; 111E OTHER' t. 2-1 l^{( iISI OO r. IF THIS BOX IS CHECKED, REFER TO DISPOSAL SITE INSPECTION REPORT (CIWMB 62) FOR ADDITIONAL INFORMATION Comments (Note: for additional or continued comments use the CIWMB 03 or attach additional pages.) Monthly routine inspection conducted this date, the following was noted: No Violation or Area of Concerns of state minimun standards observed. INSTRUCTIONS ON BACK Top - CIWMB Middle - LEA Bottom - Operator 17897.19(a) - EPA ID NUMBER O O 17897.19(b)(1) - ADDITIONAL SITE SECURITY O O 17897.19(b)(1)(A) - CONTINUOUS SURVEILLANCE SYSTEM O O 17897.19(b)(1)(B) - WARNING SIGN(S) O O 1�e7'+8se9w7.20- OPERATOR INSPECTION REQUIREMENTS O O :Ri44VEl,tAl h �; 4n„4 x�� Ir6 yL�;lYr; 17897.19(b)(2) - DISPOSAL SITE RECORD 00 17897.19(b)(2)(A) - LAND DISPOSAL RESTRICTIONS 00 17897.19(b)(2)(B) - OPERATING RECORD 0101 17897.19(b)(3) - FINANCIAL RESPONSIBILITY 00 17897.19(c)(1) - CONTINGENCY PLAN 00 17897.19(c)(2) - PERSONNEL TRAINING 00 E1tttON REQUIREMENT$- J� 2 r :: t 17897.21(b) - SUBMIT PLAN FOR APPROVAL TO EA 00, 17897.21(c) -(d) - PLAN PREPARATION AND RESCHEDULED STARTING DATE O O O ClSUREAA(G Idrly,i IoSTGCOSUR !^ xetL' r+ ,z6 �d L�. �.1 1 O) : "� s c r ,`.rz;.l 17897.24 -COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS O O ON i7ri; 111E OTHER' t. 2-1 l^{( iISI OO OO r. IF THIS BOX IS CHECKED, REFER TO DISPOSAL SITE INSPECTION REPORT (CIWMB 62) FOR ADDITIONAL INFORMATION Comments (Note: for additional or continued comments use the CIWMB 03 or attach additional pages.) Monthly routine inspection conducted this date, the following was noted: No Violation or Area of Concerns of state minimun standards observed. INSTRUCTIONS ON BACK Top - CIWMB Middle - LEA Bottom - Operator