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r;..� <br /> STATE OF CALIFORNIA - Asbestos Containing.Waste Disposal� � _ � CALIFORNIA INTEGRATED WASTE <br /> CAV'&5YA(NBT) Inspection Report Addendul -`. - _ MANAGEMENT BOARD <br /> / his Inspect�reportf�ls to be used In conjunction anth th DLs�esalWnRlt7(I B-52�Enforcement Agency: UGC�t 1yy- y LnVl Vtit iA� l/��ct - Page!o <br /> �PACILtTY.FtLE NUMBER <br /> PROGRAM CODE— — INSPECTION DATE t TIME IN INSPECTION TIME <br /> �ficaL=L raTE=st i a4M DD n, ' <br /> TIME OUT -- ---- <br /> CILITYlOPERATION NAMEp OPERATOR OWNER <br /> 'FACILITY LOCATION 1 ADDRESS --- ------ -----__ -- _-_-- -- _–_-- ---------��1��, <br /> ALSO PRESENT <br /> _c�/Y �� - r_�U_�.,�. ��� / !��IVC\e r off_ /��ir �o�-, ��•` � <br /> �UNSPECIOQ__. �S JNSPECTOR SIGNATtlfE <br /> TIONIFACILITY WAS INSPECTED FOR COMPLIANCE •rte / <br /> THE ABOVE OPE ANCE IW�TI'I APP L�,S TNS OF DIVISION 30 OF,THE PUBLIC RESOURCES COGE(PRC)AND TITLE 14 CALIFORNIA CODE OF REGULATIONS(CCR). <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTH ISE MARKED WITH ONE OF THE FOLLOWING:V=ViCLATION A=AREA OF CONCERN NA=NOT APPLICABLE <br /> PERMITS - --- -- — - ----- - -- -- -- --- ---- — -- <br /> V A N14 <br /> `PRC 44002-OPERATOR AUTHORIZED BY SWFP <br /> "PRC 44004-SIGNIFICANT CHANGE <br /> ----- -------- <br /> PRC )-44014(b <br /> _ _ OPERATOR COMPLIES WITH TERMS AND CONDITIONS � <br /> 18213(b)-PERMIT REVIEW APPLICATION L_ j <br /> 18222-REPORT OF DISPOSAL SITE INFORMATION <br /> GENERAL STANDARDS.. <br /> 17897.16 GENERAL STANDARDS <br /> IDESIG[d AND OPERATING REG2UIREMENTS <br /> 17897.18(a)-DESIGNATED ACW DISPOSAL AREA <br /> j 17897.18(b)-SITE CONTROL PROGRAM <br /> 17897.18(c)-ACW NOT DISPOSED WITH REFUSE <br /> 17897.18(d)-CONTROL OF VISIBLE EMMISSIONS <br /> 117897.18(e)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br /> I 17897.18(f7_--NO COMPACTION PRIOR TO COVER <br /> 1789718(g) COVER <br /> 17897 18(h) COVER FREQUENCY <br /> Ag"PP.ITIPNALREQUIREMENTS' <br /> d97 19(a)-EPA ID NUMBER -- <br /> }17897.19(b)(1)-ADDITIONAL SITE SECURITY <br /> 17897.19(b)(1)(A)-CONTINUOS SURVEILLANCE SYSTEM �- <br /> 17897.19(b)(1)(B)-WARNING SIGN(S)_ - ---- -- -------- -- ------ <br /> 17897.20-OPERATOR INSPECTION REQUIREMENTS <br /> -- — -— - - --- <br /> RECORD KEEPING - <br /> 17897.19(b)(2)-DISPOSAL SITE RECORD <br /> 7897.19(b)(2)(A)-LAND DISPOSAL RESTRICTIONS <br /> 17897.19(b)(2)(B)-OPERATING RECORD <br /> 17897.19(b)(3)-FINANCIAL RESPONSIBILITY <br /> 17897.19(c)(1)-CONTINGENCY PLAN---- --- --- ---------- - - — -- <br /> 17897.19(c)(2)-PERSONNEL TRAINING -------- ------ - - --i - <br /> _. _ <br /> E3CGAV:ATION REIt3IREMEh1TS h <br /> 17897.21(b)-SUBMIT PLAN FOR APPROVAL TO EA <br /> ?7_211(c}(d)-PLAN,PREPARATION AND RESCHEDULED STARTING DATE s <br /> CLQa�...�AN[31PQ5'E CLE)SLI . ... <br /> 17897.24 COMPLIANCE WITH CLOSURE/POST'CLOSURE REQUIREMENTS < <br /> OTHER _ <br /> ® IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CIWMB-52)FOR ADDITIONPLINFORMATION — <br /> (USE SWIS-03 FOR ADDITONA <br /> IL SAE) <br /> !COMMENTS PC - - - — - <br /> L^ aft t-. �r -- - <br /> a_ 1 �. <br /> DISTRIBUTION: White-CIWMB Pink-LEA Yellow-Operator 9791149 <br />