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STATE OF CAUFORNIA CALIFORNIA INTEGRATED WASTE CIWMB-52(REV.494) Disposal Site Inspection Report 10 MANAGEMENT BOARD Enforcement Agency: Page--Of— FACILITY FILE OfFACiL17YFILE NUMBER: PROGRAM CQDE INSPECTIONDATE TIME IN INSPECTION TIME g�1 / LOCAL==L'STATE m S MM DO YY TIME OUT FACILITY NAME >. _.. / RECEIVED BY(OPERATOR) FACILITY LOCATION Ff G.► OWNER INSPECTOR INSPECTORAGNATURE ALSO PRESENT l O THEABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OFTHE FWINUfC RESOURCES CODE(PRC)AND TITLE 14 OF THE CALIFORNIA CODE OF REGULATIONS(CCR). THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING V a VIOLATION A=AREA OF CONCERN NA=NOT APPLICABLE PERMf1s: 130011::. V >A. NA SPREADING/WM?AMN6 ]31411 . 1: A NA< IETIER 13251}:: Y A NIR< PRC 44002-OPERATOR AUTH.BY SWF PERMIT 17677•SPREADING AND COMPACTING �' 17711•LITTER CONTROL PRC 44004-SIGNIFICANT CHANGE SLOPES/CUTS(GRAOING 13151] NOISE <(32611 PRC 44014(bl.OPERATOR COMPLIES 17678-SLOPES AND CUTS 17712-NOISE CONTROL wlTEflMS OF PERMIT 17710-GRADING OF FILL SURFACES OItOR: ;(3271}. 18213(b)•PERMIT REVIEW APPLICATION CANER (3161] 11113-DOOR CONTROL 18221- REPORT OF DISPOSAL SITE INFO. 17680-STOCKPILING TRAFHC 13181] RECORDS:.. 13011]:': 0917681•AVAILABILITY OF COVER MATERIAL 17714•TRAFFIC CONTROL 17606•RECORDING 17682-COVER SPECIALWASTES p32t1. 1'601-PERIODIC SITE REVIEW 17683-PERFORMANCE STANDARDS 17741-BURNING WASTES 17616-REPORT OF DISPOSAL SITE INFO. 17684.INTERMEDIATE COVER 17742•HAZARDOUS WASTES 17636-WEIGHT/VOLUME RECORDSSALVAGING/PROfi SS1NG 13171) 17743-LIQUID WASTES 17637•SUBSURFACE RECORDS 17686.SCAVENGING 17744-DEAD ANIMALS 17638-SPECIAL OCCURRENCES 17687-SALVAGING PERMITTED CLOSURE 17639-INSPECTION OF RECORDS 17688•VOLUME REDUCTION/ENERGY REC. 17773-FINAL COVER DESIGN::. {3002];1 17689-PROCESSING AREA 17777•FINAL SITE FACE 17626-DESIGN RESPONSIBILITY 17690•STORAGE OF SALVAGE 17779•SLOPE PROTECTION AND COVER 17628.GENERAL DESIGN PARAMETERS 17691-REMOVAL FREQUENCY 17787-RECORDING 17629-PUBLIC HEALTH DESIGN 17692•NON-SALVAGEABLE ITEMS 17792•CHANGE OF OWNERSHIP I SIGNS EOUIPMENF: {3291] 18255.SUBMITTAL OF PLANS 17656.IDENTIFICATION_SIGNS 17693-GENERAL EQUIPMENT TIRES (333f} 17657-ENTRY SIGNS 17694.STANDBY EQUIPMENT FT- 17351-FIRE PREVENTION SECURITY {3041) MAINTENANCE:::. {3301) 17352-FACILITY ACCESS SECURITY 17656-SITE SECURITY 17695-GENERAL MAINTENANCE 17353-VECTOR CONTROL RDAOS {3051) 17696.OPERATING SITE MAINTENANCE 17354.STORAGE 17659.ACCESS ROADS NUISANCE QiBil 17355-DISPOSAL 17660.INTERNAL ROADS 17701-NUISANCE CONTROL 17356.INDOOR STORAGE SANITATION 13011] 17702-ANIMAL FEEDING OTHER 133{1) 17666•SANITARY FACILITIES ORE (31911_ 17258.1 -AIRPORT SAFETY 17667-WATER SUPPLY 17703-FIRE CONTROL 17258.2-PROCEDURES FOR EXCLUDING HW COMMUNICATIONS. (3081} I; LEACHATE (3201} 11258.21-COVER 17668•COMMUNICATIONS FACILITIES 17704•LEACHATE CONTROL 17258.23-EXPLOSIVE GAS UGHiINGi {3091) 17709-CONTACT WITH WATER 17258.24-AIR CRITERIA 17669•LIGHTING GAS (3211' 17258.29•RECORD KEEPING PERSONNEL 13011) 3i 17705•GAS CONTROL 17670-SAFETY EQUIPMENT DllSF' (3121]:: 17671-AVAILABILITY 17706-DUST CONTROL 11672•TRAINING VECMW8IRDS 132311> 17673•SUPERVISION 17707•VECTOR AND BIRD CONTROL 17674-SITE ATTENDANT 17715•PONDED LIQUID CONFINEOUNLDADING (3111};;:;: ORAINAGEJEROSiDPt.. (3241}=: 17676•CONFINED UNLOADING 17708-DRAINAGE AND EROSION CONTROL COMMENTS(USE$ ISA FORw DITIOR sr El fAf ®/1 Sl7-4 Cis C d/G /may 1<<� c(/t.�S sf— G r (] I s *A&_ cL>o r vfL L.F,• est'<csAs InAldl/ � s u to s 6/e " jt s a Y-r A.{r L,'&S f cs O AOLS t �` I ar 5f"rK SN" ales�O�.QSTRUByf14Rd: dF,. � A �Clwms G.S As �i`/`�Pi.k r�J�Gu7 Y WG?'h Y a""`"' �► �7 e S�w or G, Gc sf G e slryr�'� A � tr C�,df 0 z- sS.Y