Laserfiche WebLink
08OS2050011 <br /> ■ ` Waste Tire Survey & Inspection Report s - . , .� ■ <br /> ere <br /> 11 State of CdHomla <br /> CIWMB 132(Newe4re4) Inspection Form - Page 2 <br /> ` CalHom a Integrated Waste Menagemenl Board <br /> Part C-Facility Information BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspectiontion <br /> n ! % J � Report <br /> 1 1 1 � L—_ <br /> --�--—=-r-- _ _L_ISite Suffix: Number. _L_.-j <br /> Inspection Number on the associated Survey form(Page 1)T _-- <br /> SWIS 7'1� <br /> Number: I I I' _-I— Photos Taken 0 Yes 0 No <br /> Property Owner <br /> Uias$ - - -- - J - - - -.ilei_ l�t�Co��2 <br /> I <br /> Exempt Business Type (Fill if applicable) Permitted Regulatory Status(Fill one) <br /> 0 PRC§42823.5-Cement Manufacturing Plant with written verification that the facility qualifies for exemption. O Permitted . 0 Exempt <br /> Excluded Business Types(Fill if applicable) <br /> 0 PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) 0 Excluded 0 Unpermitted <br /> 0 14 CCR§18420(a)(2)-Agricultural<5,000 tires incapable of holding water&used forbumpers or ballast Facility Type(Fill one) <br /> 0 14 CCR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises 0 Major WTF (>_5,000 Tires) <br /> 0 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> 0 14 CCR§18420(a)(7)&(e)-Tire dealer storing no more than 1,500 waste tires for 90 days 0 Minor WTF (500-4,999 Tires) <br /> Part D-Inspection of Waste Tire Facility <br /> V WAS TIR O D D V A <br /> hl <br /> Permit Requirements 00 14 CCR§17352-Site Security <br /> 0 PRC§42824-Major Waste Tire Facility Permit O(a)Signs O(b)Site Attendant O(c)Access_ <br /> 0 0 PRC§42834-Minor Waste Tire Facility Permit 0 14 CCR§17353(a)-Vector Control <br /> O(1)Impermeable Barrier O(2)Approved Vector Plan <br /> PRC§42850(a)-Complies with Terms of Permit <br /> 0 � 0 14 CCR§17354-Storage of Waste Tires Outdoors <br /> 0 14 CCR§18420(a)-Applicable for Permit O(a)Storage Units <br /> 0 0 14 CCR§18423-Filing Application for Permit O(b)Fire Lanes <br /> 0 0 14 CCR§18432-Operations Plan O(c)Fire District Requirements <br /> O(d)Drainage <br /> 0 0 14 CCR§18433-Emergency Response Plan <br /> _____ _ . O(e)Slope/Grade <br /> Recordkeepin Requirement _ (f)Siting(New Facilities) <br /> 0 0 14 CCR§18447-Records Available O(g)Rim Removal i <br /> 0 1 0 1 14 CCR§17351-Fire Prevention Measures O(h)Protection from Pyrdytic Oil Runoff <br /> O(a)Communication Equipment O(c)Water Supply 00 1 14 CCR§17356-Indoor Storage - <br /> O(b)Fire Equipment O(d)Other Requirements Facility Compliance with NFPA 231D-1989 <br /> Comments pA - ) ,-I / ` L <br /> � W — <br /> i ni 'a(s. A �y'oovv% "2s�ts w we l e_F�- ,N;,�it i h earrcd h _ v- <br /> .Tod ►s C*5719 30'1-01 qh g'7�(2oa41(n -20a q. <br /> Ma+tii," -f r 54 Still iN i _ r. 4�n SKve- *Aa t <br /> Oikf o ApnrD . 5D tires Orl r;Dllk t� cars <br /> 6knd sai vl yctn Q- Dis <br /> -- No V i o tai-to i s h.of�J <br /> ■ ®15386 <br /> ' 3INSTRUCTIONS ON BACK EX A h P L E 2 <br /> White ke Copy.CIWMB Yellow Copy.Operator Pink Copy.LEA <br /> ■ ` <br /> 7 <br />