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Caiitomia integrated Waste Management Board <br /> State of California Disposal Facility Inspection Report — <br /> CIMB 52 <br /> (Rev 01107) Page 1 of 4 <br /> �° _... <br /> Enforcement agency San Joaquin County Environmental Health Department Fot 0..ictal-CIWMB Use Only <br /> R <br /> eceived Da <br /> ew <br /> FACILITYFLE NUMB R EC ION DATE:(MRDD/aYlY) <br /> - <br /> 3 9 - A A .- 0 0 1 5 : 0 1 / 1 6 /' 20: 0:_9 <br /> PROGRAM CODE (Select only one code) Time In: Inspection Time <br /> t�LEA Periodic OCIWMB.Closed Sites OCIWMB Focused <br /> - _ <br /> OCEA,Focused �CIW_MB.EnforcementAgent:QCIWMB Periods Time Out QAttachments On Flle(Not Scannell <br /> Facility Name Received By(Operator ignature <br /> Forward Inc Landfill <br /> Facility Location Owner Signature(If present) <br /> 9999 S. Austin Road, Manteca <br /> Inspector Inspe r Slgnat reAlso Pr ent(Name) <br /> Robert McClellon <br /> _ __TH_E_ABOVE FAC1 WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 3D OF THE PUBLIC RESOURCES CODE(PRC)AND TITLE'14 AND TR-E 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 A sPREADiNGICOMPACTING: VIA CONTROLS -. V I A <br /> PRC 44OD4(a)-SIGNIFICANT CHANGE 001 20640-SPREADINGICOMPACTING 00 20MO-NOISE CONTROL 001 <br /> PRC 44014(b)-OPERATOR COMPLIES WITH TERMS 001 2DSSD-GRADING OF FILL SURFACES 00 20860-TRAFFIC CONTROL O <br /> AND CONDITIONS OF PERM17 2066D-STOCKPILING O O 20870-HAZARDOUS WASTES 00 <br /> 21640-REVIEW OF PERMITS O O DAI1.LY&INTERMEDIATE COVER ' 2D880-MEDICAL WASTES 00 <br /> 21600-REPORT OF DISP SITE INFORMATION O O 20670-AVAILABILITY OF COVER MATERIAL —0iol 20B90-DEAD ANIMALS 00 <br /> LOCATION RESTRICTIONS -., 20680-DAILY COVER O O 20900-AIR CRITERIA 1010 <br /> 20270-AIRPORT SAFETY 00 2069D-ALTERNATIVE DAILY COVER 00 GAS'MONITORING&coNTR&f <br /> OPERATING CRITERIA 20595-PERFORMANCE STANDARDS 00 20918-EXEMPTIONS O <br /> 20510-DISPOSAL SITE RECORDS 0101 20700-INTERMEDIATE COVER 00 20919-GAS CONTROL 0.0 <br /> 20515-MSWLF UNIT RECORDS 0101 2D686-BENEFICIAL REUSE 00 20919.5-EXPLOSIVE GAS CONTROL O O <br /> 20517-DOCUMENT APPROVALS/REQUIREMENTS OO HANDLING EQUIPMENT&MAINTENANCE CLOSURE <br /> 20520.SIGNS 00 20710-SCAVENGINGISALVAGINGISTORAGE 001r 21110-TIME FRAMES FOR CLOSURE 0101 <br /> 20530-SITE SECURITY 00 20720-NON-SALVAGEABLE ITEMS 001 21780-SUBMITTAL CLOSURE PLANS 0101 <br /> 20540.ROADS 00 20730-VOLUME REDUCTIONIENERGY RECOVERY O O TIRES <br /> 2D550-SANITARY FACILITIES 010, 20740-EQUIPMENT O O 17351-FIRE PREVENTION MEASURES 00 <br /> 20560.DRINKING WATER SUPPLY 0101 20750-SITE MAINTENANCE 01(D 17352-FACILITY ACCESS SECURITY 00 <br /> 20570-COMMUNICATION FACILITIES O O CONTROLS 17353-VECTOR CONTROL O O <br /> 20580-LIGHTING 010 20760-NUISANCE CONTROL 001 17354-STORAGE 001 <br /> PERSONNEL: _. 20770-ANIMAL FEEDING 00 17355 DISPOSAL010 <br /> - <br /> 20590-PERSONNEL HEALTH&SAFETY 00 20780-OPEN BURNING/BURNING WASTES O O 17356-INDOOR STORAGE 0101 <br /> 20610.TRAINING 0#1 20790-LEACHATE CONTROL O O'T'HERS: ..- <br /> 20615-SUPERVISION O O 20800-DUST CONTROL O O 20921(a)2 Explosive Gas Control O® O <br /> 20620-SITE ATTENDANT 00 20810-VECTOR AND BIRD CONTROL %00 20921(b)Gas Monitoring and Contrij O OCONFINED UNLOADING 20820-DRAINAGE&EROSION CONTROL 20939(b)1 Sub Surface Landfill Gas fitO O20630-CONFINED UNLOADING O O 20630-LITTER CONTROL <br /> Comments_�LVote: additipnal oLeo�ued comments k�tthe�WMB_2 ofAUacfLad"-aalp�es) <br /> See Continuation Form for Details <br /> INSTRUCTIONS ON BACKC:ar=rsc z Inco sept_, E X A M P ILIE 1 2 3 <br /> Top White-CIWMB Middle Pink-LEA Bottom-Yellow <br />