Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
W Waste Tireeaey & Inspection <br /> State of California vet= SURVEY REQUIRED <br /> California <br /> ClWMB Waste <br /> eManag) Inspection Form Page 2 <br /> California Integrated Waste Management Board <br /> Part C - Facility Information BLUE OR BLACK INK PEN <br /> (esusm — JJJJ0 tion Detailsdki, <br /> TPID- �\ Inspection <br /> Site Suffix: ' 7 ( ``� L� V Report I '7 II �� f "i <br /> Number: Il <br /> SWIS Inspection Number on the associated Survey form(Page 1) <br /> Number: m m Photos Taken ®Yes 0 No <br /> �1 H Villlohl'- L`-' ,(a1'`-1�� ' - , �, /�� GUtIPr/crn P <br /> hone Number Mailing Address City State ZIP Code <br /> Exemp. _ _ if applic . . - <br /> 0 PRC §42823.5-Cement Manufacturing Plant with written verification that the facility qualifies for exemption O permitted O Exempt <br /> 0 PRC§42808-Permitted Solid Waste Facility(Landfill,Transfer Station) <br /> Q Excluded ® Unpermitted <br /> 0 14 CCR§18420(a)(2)-Agricultural<5,000 tires incapable of holding water&used for bumpers or ballast <br /> Q 14 C CR§18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises 70Major WTF (>5,000 Tires) <br /> 10 14 CCR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days <br /> O 14 CCR§18420(a)(7)&(e)-Tire dealer storing no more than 1,500 waste tires for 90 days O Minor WTF (500-4,999 Tires) <br /> Part D - Inspection of Waste Tire Facility <br /> V A WASTE TIRE STORAGE STANDARDS V A <br /> Permit Requirements wQ 14 CCR§17352-Site Security <br /> O O PRC§42824-Major Waste Tire Facility Permit 0 (a)Signs 0 (b)Site Attendant 0 (c)Access <br /> ® O PRC§42834-Minor Waste Tire Facility Permit ) <br /> 0PRC§42850(a) Complies with Terms of Permit 0 (1) Impermeable Barney 0 (2)Approved Vector Plan <br /> rite Tires Clutdoo <br /> ® 0 14 CCR§18420(a)-Applicable for Permit 0 (a)Storage Units <br /> O O 14 CCR§18423-Filing Application for Permit 0 (b)Fire Lanes <br /> O Q 14 CCR§18432-Operations Plan 0 (c)Fire District Requirements <br /> Q Q 14 CCR§18433-Emergency Response Plan Q (d)Drainage <br /> 0 (e)Slope/Grade <br /> 0 (f)Siting(New Facilities) <br /> 0 0 14 CCR§18447-Records Available 0 (g)Rim Removal <br /> 0 (h)Protection from Pyrolytic Oil Runoff <br /> 0 (a)Communication Equipment 0 (c)Water Supply <br /> 0 (b)Fire Equipment 0 (d)Other Requirements Facility Compliance with NFPA 231 D-1989 <br /> Comments <br /> - Vir\0 r�rl'd 'krQC((GA l�t���jlP Vekt_(+1PJ t� Q l ��htosti't� <br /> C 7fG� v✓S �o01e (�kt' ( k Ct?yo 40 Etre S. P �tnr-1 r4.1C <br /> 0n ��e w "--!0►t ��ea0z apil l WL I 0A1,1ed �y f�(t <br /> fin ;fi r ria/- ;�� )re_( I cC k I-e Gn + P IN P�>v ✓�'� I�t� `f c�P; <br /> lrY ghevn , +Ojo wee'e pqr-4'(a1J,1 Filled , <br /> 47 CIE- Sw61, hry1.a4P t ) cu 6c <br /> Loo�se wore l�rlttc�f��� eta k'e - W h 6 le h/e (au A�, <br /> / � 15386 <br /> INSTRUCTIONS ON BACK Correct:* <br /> X Incorrect: V f_'_ <br /> �+( �t MIP L EY 2 3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />