COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

i ' e and Inspection Repo. .. City/county �::: Waste 1�� Survey p P Mailing Address t Phone Number State of Ca.'fomia CIWMB-5=(10/03) T PART A-General Information/Survey J Page of Tio INSPEC SR /ISR Type(cam=o one): ®-Routine ❑Re-inspection ❑ Complaint ❑ Observation ❑CIWMB Referral ❑CHP Referral ❑Other. Facility SWIS: Inspected by-.-,,-,, Time In: Dat t Regulatory Stat File No. ( oyl�y/City 1 _( 1J ElPermittExclud___ El Exempt❑Unperrnitfed TPID: Code - Time Out: otal ime: O Hauler ID: fid ' perational Status ❑State __:�-•'- llctive❑-Closed❑�lnaotl've❑Planned:- ., .. Local: �� -- .. _ ,.. . Business'Facilit ry Name: Tire Count::: Type: ®Passenger[]Altered❑Truck❑OTR Phone: =Storage -Address: 1` Dc- Pputdoor❑Indoor❑Container 5 f Ownr: ector(Please Print): Business Rep: o p Title: Facility Type.'(Check one} Role of Business:(Check au tttai appy) ,.. ❑ Majcr`NTF(>5.000 sres> c❑ Minor WTF(>500 tires) ®Waste Tire Location (<500 tires) I&Generator ❑Hauler ❑End-use Business Type:(Check all that apply) , Tire_-:,al ❑ Retreader ~^❑Dismantler El Repair El Auto Body' ❑Car Dealer ❑Collection ❑ Gas Sation ❑Trucking Fleet ❑Shredder ❑ Crumb Rubber ❑ Other Describe Excluded Business Types(check ontytfApplicable)c ❑ 1= CR§ 18420(a)(3) - Facilities storing less than 500 waste tires(Waste Tire Location). [j-14 --CR§ 18420(a)(4)-Tire retreading facility with no more than 3,000 waste tires on premises. ❑ 14 :CR§18420(a)(6)-Auto dismantler storing no more than 1,500 waste tires for less than 90 days. Ej�,_14_-CR§ 18420(a)(7)&(e)-Tire dealer storing no more than 1,500 waste tires for less than 90 days. If excluded f-r:ermmt"corroete Pans B and D. If not excluded from perm t requirements complete Parts B,C.and D. PART B-Inspection of Waste Tire Dealer, Generator, Hauler and End-Use Facility V-: "A C` "dr�`: x '•, _r^ .��•HAULINGAND MANIFESTING REQUIREMENTSs -0 -. ❑ ❑ ] PRC§42951 (a)-Waste Tire Hauler Registration and Transport of Tires. ❑ ❑ :1PRC§42953-Contracts with Registered Waste Tire Haulers. ❑ ❑ ] 14 CCR§ 18459.1 (a)(b)(c)-Tire Program ID Number from CIWMB. ❑ ❑ ] 14 CCR§ 18459.2.1 -Submittal of Manifest Forms and Tire Trip Logs within 90 days. ❑ ❑ ❑ 14 CCR§ 18459.3 -Retention of Manifest Forms and Tire Trip Logs for 3 years. ❑ ❑ ❑ 14 CCR§ 18460.2 -Manifest System Requirements for Registered Waste Tire Haulers. ❑ ❑ ❑ 14 CCR§18461 -Manifest System Requirements for Waste Tire End-Use Facilities. ❑ I ❑ ❑ 14 CCR§ 18462-Manifest System Requirements for Tire Dealers or Waste Tire Generators. PART C-Inspection of Waste Tire Facility p _. D4tD m kw Permits Requirementin F -W- }[ C (C" r14;CCR§1T35Z~Site Sect ritjr' r ❑ ❑ ❑ PRC§42824—Major Waste Tire Facility Permit ❑(a)Signs ❑(b)Site Attendant ❑(c)Access ❑ ❑ ❑ PRC§42834—Minor Waste Tire Facility Permit ❑ ❑ ❑ PRC§42850(a)-Complies with Terms of Permit [? '.`[ ;"[M l4`CCR§117353'{a'jFecfoCgntry .,., ❑ ❑ ❑ 14 CCR§18420(a) -Applicable for Permit ❑ (1)Impermeable Barrier ❑ (2) Approved Vector Plan 14`CCR 17354 Stora e€Zf Waste,P�es§ o6cscofflm ❑ ❑ ❑ 14 CCR§18423 -Filing Application for Permit [ _�"' "$ §', _ _, 9 Recordfleepin ;_:f E] (a)Storage Units g`RequTeinents `u.` ❑(b)Fire Lanes ❑ ❑ I-❑ 14 CCR§18432-Operations Plan ❑ (c)Fire District Requirements ❑ ❑ I ❑ 14 CCR§18433-Emergency Response Plan ❑ (d)Drainage ❑ ❑ ❑ 14 CCR§18447-Records Available ❑ (e)Slope/Grade ❑ (f)Siting(New Facilities) 14 CCR 17351 F1re Prevention Measures `''" ❑ (g) � �❑. ��._ § Rim Removal C1(a)Communication Equipment [I (h)Protection from Pyrolytic Oil Runoff ❑(b)Fire Equipment [ `[ [ 14 CCR§17356 -Indoor'Stdrage' ❑ (c)Water Supply ❑ (d)Other Requirements Facility compliance with NFPA 231 D-1989