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California integrated Waste <br /> cwAne California Asbestos Containing Waste Disposal Site <br /> Management Board <br /> Page 3 of <br /> (Rev 9/06) Inspection Report Addendum <br /> Enfo n g n � San ._ n '� epa o- e621 -I, U`se O_I�N, <br /> This Ins ec6on Is to be used in conjunction with the Disposal S8s Ins action Report CIW 8 <br /> � � 1 Joaquin Cou Environmental Health Department is For Offi a1�IWMB <br /> N�_ 7r�D ReCei�vrda�e�.T ,s;..7tiy� <br /> �f .:I..T�v EI..E_NMe a r ::�g�.•� .. P .. . Mi <br /> ... NLS 4 <br /> l39 AA 0015 F a ;'$05/23/2008 <br /> RROG M`c . �lyone I I . <br /> �LEribd4C1Y57 Closed Sett s � � � $ed TimIn- <br /> e Inspection Time ' <br /> Time �''1` r x f x,r "� *•. <br /> ���LEA1 tags@dl . B Egforcem.n,Ant B cldi DAttat;Hments On�f Flle(4Vo Sarinec) <br /> � r?1rt,*e@c��F�..�r-�.x.+k..?w, ^K� �. ;saaF'.. .3•�•: <br /> Facility Name Rec By perator <br /> (Forward Inc Landfill i <br /> Facility Location Owner <br /> 19999 S.Austin Road, Manteca, CA <br /> Inspector Ins ector signature Also Present <br /> ,Robert McClellon I I I <br /> THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUSUC RESOURCES CODE(PRC),AND TITLE 14 AND TITLE 27 CALIFORNIA CODE OF REGULATIDNS <br /> THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING:V=VIOLATION A=AREA OF CONCERN <br /> APRC 44002-OPERATOR AUTHORIZED BY SWF PERMIT O r171897.19!(a)-RPI(:D�INUMBER <br /> UMBERS <br /> t�O. <br /> O <br /> PRC 44004-SIGNIFICANT CHANGE O O . 9(b)(1)-ADDITIONAL <br /> SITE SECURITY 1010 <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS 3 CONDITIONS O 0 17897.1 9(b)(1)(A)-CONTINUOUS SURVEILLANCE SYSTEM 1010 <br /> 21640-PERMIT REVIEW APPLICATION Ulu 17897.19(b)(1)(B)-WARNING SIGN(S) 1010 <br /> 21600-REPORT OF DISPOSAL SITE INFORMATION 1010 1789720-OPERATOR INSPECTION REQUIREMENTS 1010 <br /> 'GENE A DARDSr. �`4i � �¢ '� ,t,t�'F•` � <br /> •y.:— �r,••. ;d ''� � e) 3.:. � '(4.,K �'��"` "�- S)tECORps E��N� � �^���' b-1"�.*rk�� n ,a�;�• � ,�"w, <br /> - �•�t..... .,:-�.«a �'tla,. :�:...ra.,;.e sr- ��p::�c-c.,d'; .....�.ya !,..�+� . a -.a�:s r+.r.�+A i'F� �._.::s"L+ :. <br /> 17897.15-SCHEDULES OF COMPLIANCE O Q 97897.99(6)(2)-DISPOSALSITERECORO O O <br /> 1789716.GENERAL STANDARDS O O 17897.99(b)(2)(A)-LAND DISPOSAL RESTRICTIONS O O <br /> ESIGN ANI�QPE)X-n <br /> xo„•t.- a ., __ �gyy,, -_.. 17897.19(6)(2)(8)-OPERATING RECORD O O <br /> lima 7897.18(a)-DESIGNATED ACW DISPOSAL AREA 010 97897.19(6)(3)-FlNANCIAL RESPONSIBILrrY O O <br /> 17897.18(b)-SITE CONTROL PROGRAM 010 17897.19(.)(9)-CONTINGENCY PLAN O O <br /> 17897.18(.)-ACW NOT DISPOSED WITH REFUSE 010 17897.19(.)(2).PERSONNEL TRAINING O 0 <br /> 17897.18(d)-CONTROL OF VISIBLE EMISSIONS 010 v , ^. <br /> 17897.18(0)-MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING O 2SUBMIT PLAN 178971(b)-SUBMPLAN FOR APPROVAL TO EA O.O. <br /> 17897.18(1)-NO COMPACTION PRIOR TO COVER 010 17897.21(.}(d)-PLAN PREPARATION AND RESCHEDULED STARTWG DATE 1010 <br /> 17897.18(9)-COVER <br /> 0101 <br /> O ” <br /> Cm p P S CL RE} <br /> :.x. . :x <br /> 17897.18(h)-COVER FREQUENCY - 010 1789724-COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS 1010 <br /> 111 MIN <br /> F71 IF THIS BOX IS CHECKED,REFER TO DISPOSAL SITE INSPECTION REPORT(CBNMB 62)FOR ADDITIONAL INFORMATION IN <br /> Comments(Note:for additional or continued comments use the CIWMB 03 or attach additional pages.) <br /> There were no violations or areas of concem noted durina the inspection <br /> INSTRUCTIONS ON BACK <br /> Top-CIWMB Middle-LEA Bottom-Operator <br />