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califomia Integrated Waste Management Board <br /> State of California Disposal Facility Inspection Report <br /> CIWMB 52Page 1 of 4 <br /> (Rev 01107) — <br /> Enforcement Agency:I San Joaquin County Environmental Health Department For Official CIWMB Use Only <br /> FACILITY FILE NUMBER (99-roc-9999) INSPECTION DATE(MMIDD/YYYY) Received Date' <br /> 39 - AA - 00 15 11 / 19 / 2008 <br /> PROGRAM CODE (Select only one code) Time In: inspection Time <br /> QLEA Periodic OCIWMB Closed Sites OCIWMB Focused_ <br /> OLEA Focused OCIWMB EnforcementAgentOCIWMB Periodic Time Out: OAttachments On File(Not Scanned) <br /> Facility Name R=(Op8rator 2c gature <br /> Forward Inc Landfill <br /> Facility Location Owner Signature(if present) <br /> 9999 S.Austin Road, Manteca I i <br /> Inspector Inspector Signature Also Present(Name) <br /> Robert McClellon a_&,..- I I <br /> THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIMSION 30 OF THE PUBLIC RESOURCES CODE(PRC),AND TITLE 14 AND TITLE 27 CALIFORNIA CODE OF REGULATIONS(CCR__j <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING:V=VIOLATION A=AREA OF CONCERN <br /> PERMITS V I A I SPREADING/COMPACTING V I A I CONTROLS V A <br /> PRO 44004(a)-SIGNIFICANT CHANGE 0101 20640-SPREADING/COMPACTING 0101 2DB40-NOISE CONTROL OO <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS OO 20650-GRADING OF FILL SURFACES 00 20860-TRAFFIC CONTROL 00 <br /> AND CONDITIONS OF PERMIT 20660-STOCKPILING 010 20870-HAZARDOUS WASTES O O <br /> 21640-REVIEW OF PERMITS 010 DAILY&INTERMEDIATE COVER 20860-MEDICAL WASTES 0101 <br /> 21600-REPORT OF DISP SITE INFORMATION O O 20670-AVAILABILITY OF COVER MATERIAL 00 20890-DEAD ANIMALS 00 <br /> LOCATION RESTRICTIONS 20680-DAILY COVER 00 20900-AIR CRITERIA OO <br /> O 20270-AIRPORT SAFETY GAS MONITORING&CONTROL <br /> OPERATING CRITERIA 20695-PERFORMANCE STANDARDS 00 20918-EXEMPTIONS 1010 <br /> 20510-DISPOSAL SITE RECORDS 010 20700-INTERMEDIATE COVER 00 20919-GAS CONTROL 1010 <br /> 20515-MSWLF UNIT RECORDS 001 20666-BENEFICIAL REUSE O O 20919.5-EXPLOSIVE GAS CONTROL 1010 <br /> 20517-DOCUMENT APPROVALSIREQUIREMENTS 001 HANDLING,EQUIPMENT&MAINTENANCE CLOSURE 10 <br /> !0520-SIGNS 00 20710-SCAVENGINGISALVAGING/STORAGE 001 21110-TIME FRAMES FOR CLOSURE OO <br /> 20530-SITE SECURITY 00 20720-NON-SALVAGEABLE ITEMS 00 21780-SUBMITTAL CLOSURE PLANS 1010 <br /> 20540-ROADS 00 20730-VOLUME REDUCTIONIENERGY RECOVERY O O TIRES <br /> 20550-SANITARY FACILITIES 00 20740-EQUIPMENT 00 17351-FIRE PREVENTION MEASURES 00. <br /> 20560-DRINKING WATER SUPPLY 010, 20750.SITE MAINTENANCE 00 17352-FACILITY ACCESS SECURITY 00 <br /> 20570-COMMUNICATION FACILITIES 010 CONTROLS 17353-VECTOR CONTROL 00 <br /> 20580-LIGHTING O 6 20760-NUISANCE CONTROL O O 17354-STORAGE 00 <br /> PERSONNEL. 20770-ANIMAL FEEDING 00 17355-DISPOSAL <br /> 20590-PERSONNEL HEALTH&SAFETY 00 20780-OPEN BURNING/BURNING WASTES 00 17356-INDOOR STORAGE 00, <br /> 20610-TRAINING 00 20790.LEACHATE CONTROL O O OTHER <br /> 2DB15-SUPERVISION 00 20800-DUST CONTROL 00 OO <br /> 20620-SITE ATTENDANT 00 20810-VECTOR AND BIRD CONTROL 00 O O <br /> CONFINED UNLOADING 20820-DRAINAGE&EROSION CONTROL O 00O <br /> 20630-CONFINED UNLOADING 001 20830-LITTER CONTROL O O <br /> Comments: fNote:foradditional orcontinued comments use the CIWMB 03 orattach--additional pages.).. <br /> See Continuation Form for Details <br /> INSTRUCTIONS ON BACK ICorrec. liicorrec y EXAIIIN <br /> MPLE 1 2 3 <br /> � . <br /> Top White-CIWMB Middle Pink-LEA Bottom-Yellow <br />