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State B California Asbestos Containing Waste Disposal Site CIWMB 52A (Rev9/05) Inspection Report Addendum _ I ma Inapecavn report Ie co oe usea m u2 unwI 2 erre uraQvsar a¢e EnforrsinentAgency„.'San Joaquin County Environmental Health Department 139 -AA -0015 12/19/2008 f 1 PROGRAM CODE (5efiect only one codddj Time ULF.A Panodic OCIWNIB Closed BNte Inspection Time 1GVNt8 Facus�d Time California Integrated Waste Management Board Page 3 of 3 Facility Name Received By (Operato ,Forward Inc Landfill , Facility Location Owner 19999 S. Austin Road, Manteca, CA I I I Inspector Inspector Signature Also Present (Robert McClellon , I , 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). THE STANDARDS BELOW ARE CONSIDERED IN COMPLIANCE UNLESS OTHERWISE MARKED WITH ONE OF THE FOLLOWING: V=VIOLATION A=AREA OF CONCERN mix L ' 17897.19(a) - EPA ID NUMBER 0 O 17897,19(b)(1) - ADDITIONAL SITE SECURITY O O 17897.19(b)(1)(A) - CONTINUOUS SURVEILLANCE SYSTEM O O 17897A9(b)(1)(B)- WARNING SIGN(S) O O 17897.20 OPERATOR INSPECTION REQUIREMENTS Q Q gWs31i,Ii�%I 71 1 A i �hl��t5. _ �� r s �Jii,v`.a�.ar �Ko�rvas.i(I 17897.19(b)(2) - DISPOSAL SITE RECORD O O 17897.19(b)(2)(A) - LAND DISPOSAL RESTRICTIONS 0 Q 17897.19(b)(2)(B) - OPERATING RECORD O O 17897.19(b)(3)- FINANCIAL RESPONSIBILITY Q Q 17897.19(c)(1)- CONTINGENCY PLAN Q O 17897.19(c)(2)- PERSONNEL TRAINING Q O EXCVAIIQN REtatIIREMENTS y py r 17897.21(b) - SUBMIT PLAN FOR APPROVAL TO EA 00 17897.21(c) -(d) - PLAN PREPARATION AND RESCHEDULED STARTING DATE 00, Rf3 �l�tD COST Crf i�SUf at o-°` pll d f;9 itltr r CIA, 17897.24 - COMPLIANCE WITH CLOSUREIPOST CLOSURE REQUIREMENTS O O 77-77 't7TttF,ii41 sF{i r Yie @ ��= b r t leua OO 010, I - IF THIS BOX IS CHECKED, REFER TO DISPOSAL SITE INSPECTION REPORT (CIWMB 52) FOR ADDITIONAL INFORMATION Comments (Note: for additional or continued comments use the C/WMB 03 or attach additional pages.) No violations or Areas of Concern INSTRUCTIONS ON BACK�w Top - CIWMB Middle - LEA Bottom - Operator PRC 44002 - OPERATOR AUTHORIZED BY SWF PERMIT 00 PRC 44004- SIGNIFICANT CHANGE 00 PRC 44014(b) - OPERATOR COMPLIES WITH TERMS & CONDITIONS 00 21640 - PERMIT REVIEW APPLICATION 010 21600 - REPORT OF DISPOSAL SITE INFORMATION 00 �T� trt euk(I' i�uhl 4' �5: i� ,GENERAL$TANDAkDS t +�p,t s.�rs�')li( �ii��) III r t,; .,tsa z{ 17897.15 - SCHEDULES OF COMPLIANCE 00 17897.16 - GENERAL STANDARDS 00 DESIGN AND OPERATINfa REQtl1REMENTS jig y ' 17897.1 B(a) - DESIGNATED ACW DISPOSAL AREA 00 17897.18(b) - SITE CONTROL PROGRAM Q Q 17897.18(c) -ACW NOT DISPOSED WITH REFUSE 0 Q 17897.18(d) - CONTROL OF VISIBLE EMISSIONS O O 17897.18(e) - MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING O O 17897.18(f - NO COMPACTION PRIOR TO COVER O O 17897.18(g) -COVER O O 17897.18(h) - COVER FREQUENCY 010 mix L ' 17897.19(a) - EPA ID NUMBER 0 O 17897,19(b)(1) - ADDITIONAL SITE SECURITY O O 17897.19(b)(1)(A) - CONTINUOUS SURVEILLANCE SYSTEM O O 17897A9(b)(1)(B)- WARNING SIGN(S) O O 17897.20 OPERATOR INSPECTION REQUIREMENTS Q Q gWs31i,Ii�%I 71 1 A i �hl��t5. _ �� r s �Jii,v`.a�.ar �Ko�rvas.i(I 17897.19(b)(2) - DISPOSAL SITE RECORD O O 17897.19(b)(2)(A) - LAND DISPOSAL RESTRICTIONS 0 Q 17897.19(b)(2)(B) - OPERATING RECORD O O 17897.19(b)(3)- FINANCIAL RESPONSIBILITY Q Q 17897.19(c)(1)- CONTINGENCY PLAN Q O 17897.19(c)(2)- PERSONNEL TRAINING Q O EXCVAIIQN REtatIIREMENTS y py r 17897.21(b) - SUBMIT PLAN FOR APPROVAL TO EA 00 17897.21(c) -(d) - PLAN PREPARATION AND RESCHEDULED STARTING DATE 00, Rf3 �l�tD COST Crf i�SUf at o-°` pll d f;9 itltr r CIA, 17897.24 - COMPLIANCE WITH CLOSUREIPOST CLOSURE REQUIREMENTS O O 77-77 't7TttF,ii41 sF{i r Yie @ ��= b r t leua OO 010, I - IF THIS BOX IS CHECKED, REFER TO DISPOSAL SITE INSPECTION REPORT (CIWMB 52) FOR ADDITIONAL INFORMATION Comments (Note: for additional or continued comments use the C/WMB 03 or attach additional pages.) No violations or Areas of Concern INSTRUCTIONS ON BACK�w Top - CIWMB Middle - LEA Bottom - Operator