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. California Integrated Waste <br />State of California Asbestos Containing Waste Disposal slte 4nagemen4tBoard <br />CIWMB 52A Page _ of <br />(Rev 9/05) Inspection Report Addendum <br />This inspection report is to be used in coniunction with the Disposal Site Inspection Report (CIWMB 52) <br />Enforcement Agency:, San Joaquin County Environmental Health Department I <br />For Official CIWMB Use Only <br />PRC 44004 - SIGNIFICANT CHANGE <br />Received Date <br />FACILITY FILE NUMBER <br />INSPECTION DATE (MM/DD/YYYY) <br />139 -AA -0015 1 <br />11/19/2008 1 <br />17897.18(a) - DESIGNATED ACW DISPOSAL AREA <br />PROGRAM CODE (Select only one code) <br />Time <br />Inspection Time <br />OLEA Periodic QCIWMB Closed Sites QCIWMB Focused <br />Im <br />17897.18(e) - MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br />17897.18(0 - NO COMPACTION PRIOR TO COVER <br />17897.18(g) -COVER <br />Q Q <br />010, <br />00 <br />Time <br />QLEA Focused QCIWMB Enforcement Agent QCIWMB Periodic <br />17897.19(b)(2)(8) - OPERATING RECORD <br />QAttachments On File (Not Scanned) <br />17897.19(b)(3) - FINANCIAL RESPONSIBILITY <br />Out: <br />17897.19(c)(1) - CONTINGENCY PLAN <br />Q Q <br />Facility Name <br />Recei y ( erator) <br />,Forward Inc Landfill I <br />Facility Location <br />Owner <br />19999 S. Austin Road, Manteca, CA I <br />I I <br />Inspector Inspector Signature <br />Also Present <br />Robert McClellon <br />Q Q <br />THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH APPLICABLE SECTIONS OF DIVISION 30 OF THE PUBLIC RESOURCES CODE (PRC), AND TITLE 14 AND TITLE 27 CALIFORNIA CODE OF REGULATIONS (CCR). <br />THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V=VIOLATION A=AREA OF CONCERN <br />PERMITS <br />PRC 44002 - OPERATOR AUTHORIZED BY SWF PERMIT <br />V A <br />00 <br />PRC 44004 - SIGNIFICANT CHANGE <br />—5-0 <br />PRC 44014(b) - OPERATOR COMPLIES WITH TERMS 8 CONDITIONS <br />21640 - PERMIT REVIEW APPLICATION <br />21600 - REPORT OF DISPOSAL SITE INFORMATION <br />GENERALSTANDARDS <br />00 <br />010, <br />Q Q <br />17897.15 -SCHEDULES OF COMPLIANCE <br />17897.16 -GENERAL STANDARDS <br />DESIGN AND OPERATING REQUIREMENTS <br />Q Q <br />Q Q <br />17897.18(a) - DESIGNATED ACW DISPOSAL AREA <br />Q Q <br />17897.18(b) - SITE CONTROL PROGRAM <br />17897.18(c) -ACW NOT DISPOSED WITH REFUSE <br />Q Q <br />Q Q <br />17897.18(d) - CONTROL OF VISIBLE EMISSIONS <br />Q Q <br />17897.18(e) - MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br />17897.18(0 - NO COMPACTION PRIOR TO COVER <br />17897.18(g) -COVER <br />Q Q <br />010, <br />00 <br />17897.18(h) -COVER FREQUENCY <br />00 <br />17897.19(b)(2)(8) - OPERATING RECORD <br />Q Q <br />17897.19(b)(3) - FINANCIAL RESPONSIBILITY <br />Q Q <br />17897.19(c)(1) - CONTINGENCY PLAN <br />Q Q <br />ADDITIONAL REQUIREMENTS <br />A <br />17897.19(a) - EPA ID NUMBER <br />Q Q <br />17897.19(b)(1) - ADDITIONAL SITE SECURITY <br />Q Q <br />17897.19(b)(1)(A) - CONTINUOUS SURVEILLANCE SYSTEM <br />Q Q <br />17897.19(b)(1)(B) - WARNING SIGN(S) <br />Q Q <br />17897.20 -OPERATOR INSPECTION REQUIREMENTS <br />Q Q <br />RECORD KEEPING <br />17897.19(b)(2) - DISPOSAL SITE RECORD <br />Q Q <br />17897.19(b)(2)(A) - LAND DISPOSAL RESTRICTIONS <br />Q Q <br />17897.19(b)(2)(8) - OPERATING RECORD <br />Q Q <br />17897.19(b)(3) - FINANCIAL RESPONSIBILITY <br />Q Q <br />17897.19(c)(1) - CONTINGENCY PLAN <br />Q Q <br />17897.19(c)(2) - PERSONNEL TRAINING <br />Q Q <br />40.1 k► T[ON REQUIREMENTS <br />17897.21(b) - SUBMIT PLAN FOR APPROVAL TO EA <br />Q Q <br />17897.21(c) -(d) - PLAN PREPARATION AND RESCHEDULED STARTING DATE <br />Q Q <br />CLOSURE AND POST CLOSURE <br />17897.24 - COMPLIANCE WITH CLOSURE/POST CLOSURE REQUIREMENTS <br />Q Q <br />OTHER <br />QQ <br />QQ <br />I IF THIS BOX IS CHECKED, REFER TO DISPOSAL SITE INSPECTION REPORT (CIWMB 62) FOR ADDITIONAL INFORMATION <br />Comments (Note: for additional or continued comments use the CIWMB 03 or attach additional pages.) <br />INSTRUCTIONS ON BACK <br />Top - CIWMB Middle - LEA Bottom - Operator <br />