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Jun-26-2006 09 : 50 AM CA In&ted Waste Management 91663 2/3 <br /> Waste Tire Survey & Inspection Report <br /> SURVEY RE <br /> -- of California <br /> gate e ) <br /> California Integrated Waite Management Board Inspection Form - Page 2 <br /> Part C- Facility Information _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details - -- <br /> TPID- I _7 _7 6 r Inspection r <br /> Site Suffix: j Report = 1 l 1� •'3 s— 1 <br /> Number: I / <br /> SWIS Inspection Number on the associated Survey form(Page 1) <br /> Number. Photos Taken ®Yes Q No <br /> Property Owner <br /> ,207 A31 ctRV, <br /> Exempt Business T. <br /> ype (Fill if.applicable) Permitted Regulatory Status (Fill one) <br /> Q PRC§42_823.5-Cement Manufacturing Plant with written verification that the facility qualifies for exemption . Q permitted Q Exempt <br /> Excluded Business Types(Fill if applicable) <br /> 0 PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) Q Excluded ®Unpermitted <br /> Q 14 CCR§18420(a)(2)-Agricultural<5,000 tires incapable of holding water&used for bumpers or ballast Facility Type(Fill one). <br /> Q 14 CCR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises Q Major WTF (?5,000 Tires) <br /> Q 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> Q 14 CCR§18420(a)(7)&(e)-Tire dealer storing no more than 1,500 waste tires for 90 days ®Minor WTF (500=4,999 Tires) <br /> Part D-Inspection of Waste Tire Facility <br /> V A WASTE TIRE STORAGE STANDARDS 7777777777777T ..A <br /> Permit Requirements 100 14 CCR§17352.Site Security <br /> Q PRC§42824-Major Waste Tire Facility Permit Q (a)Signs Q(b)Site Attendant (c)Access <br /> ® Q PRC§42834-Minor Waste Tire Facility Permit Q 14 CCR§17353(a)-Vector Control <br /> Q (1)Impermeable Barrier Q (2)Approved Vector Plan <br /> Q Q PRC§42850(a)-Complies with Terms of Permit -- – <br /> Q Q 14 CCR§17354=Storage of Waste Tires Outdoors. <br /> Q Q 14 CCR§18420(a)-Applicable for Permit Q (a)Storage Units <br /> Q Q 14 CCR§18423-Filing Application for Permit 0 (b)Fire Lanes <br /> Q Q 14 CCR§18432-Operations Plan 0 (c)Fire District Requirements <br /> Q I Q 14 CCR§18433-Emergency Response Plan 0 (d)Drainage <br /> l o (e)SlopelGrade <br /> Recordkee ing Requirement Q(f)Siting(New Facilities) <br /> Q Q 14 CCR§18447-Records Available Q(g)Rim Removal <br /> Q Q 14 CCR§17351-Fire Prevention Measures 0(h)Protection from Pyrolytic Oil Runoff <br /> C)(a)Communication Equipment Q (c)Water Supply Q Q 14 CCR§17356.-Indoor Storage <br /> Q(b)Fire Equipment O (d)Other Requirements Facility Compliance with NFPA 231 D-1989 <br /> Comments A � �/laG1R"jlD� GAJ �7I1L G1/�'ylq/G_. 19 - <br /> CoI�N��I��O 3 <br /> lit vMPr�iv�Lry� 4*A-0_9i_ � a 9WV 1'•A-Jew dv <br /> 117 <br /> u}tiAj,WtP I3 <br /> 15386 <br /> : <br /> INSTRUCTIONS ON BACK Correct . Incorrect:M I�: 1r <br /> ■ White Copy.CIWMB Yellow Copy:Operator Pink Copy.LEA ® ■ <br />