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California Integrated Waste Management Board <br />State of California Asbestos Containing Waste Disposal Site <br />CIWMB 52A Inspection Report Addendum <br />M. This Inspection report Is to be used in conlunction with the Disposal Site Inspection Report (CIWMB 52) Page 1 Of 1 <br />-„ (Rev 01/07) — <br />�Ei'folementgnc+ SanJoa uin Count Environmental Health Department <br />y <br />`Offrlal CIWMBIseni <br />F .., <br />00 <br />BER., <br />A,= F INUMBER.',,, <br />00 <br />g3 9- A A- 0 0 1 S !uI p 1/29/2008 <br />00 <br />21600 - REPORT OF DISPOSAL SITE INFORMATION <br />nn <br />RCitaRAM COLiE �SelgCt ortfy Etna Gb <br />ite a Time In: 5:30 AM Inspection Time <br />• A"P�nolleGIWIVIB CIoSes##Ilti[S F(asOd <br />00 <br />PAF4ttetl En(4Tcement fZynf k Phb)!I' Time Out: <br />QAttaclirWswO Fileh(Not Scaltneil) <br />rQCIWM <br />n n <br />Facility Name <br />Received By (Operator) Signature <br />Forward Inc Landfill <br />I I <br />Facility Location <br />Owner Signature (if present) <br />9999 S. Austin Road, Manteca, Ca <br />ign <br />nspectornspXILICAKE <br />so resent (Name) <br />Michael Kith 11 ::f!:I <br />I <br />THE ABOVE FACILITY WAS INSPECTED FOR COMPLIANCE WITH 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 />PRC 44002.OPERATOR AUTHORIZED BY SWF PERMIT <br />U U <br />PRC 44004- SIGNIFICANT CHANGE <br />00 <br />PRC 44014(b) - OPERATOR COMPLIES WITH TERMS & CONDITIONS <br />00 <br />21640 - PERMIT REVIEW APPLICATION <br />00 <br />21600 - REPORT OF DISPOSAL SITE INFORMATION <br />nn <br />17897.15 - SCHEDULES OF COMPLIANCE I UIy <br />17897.16 - GENERAL STANDARDS INN <br />17897.18(a) - DESIGNATED ACW DISPOSAL AREA <br />U v <br />17897.18(b) - SITE CONTROL PROGRAM <br />00 <br />17897.18(c) - ACW NOT DISPOSED WITH REFUSE <br />00 <br />17897.18(d) - CONTROL OF VISIBLE EMISSIONS <br />00 <br />17897.18(e) - MAINTAIN INTEGRITY OF CONTAINERS AND/OR PACKAGING <br />010, <br />17897.18(0 - NO COMPACTION PRIOR TO COVER <br />00 <br />17897.18(g) -COVER <br />00 <br />17897.18(h) - COVER FREQUENCY <br />n n <br />17897.19(a) - EPA ID NUMBER <br />luiul <br />17897.19(b)(1) - ADDITIONAL SITE SECURITY <br />00 <br />17897.19(b)(1)(A) - CONTINUOUS SURVEILLANCE SYSTEM <br />O O <br />17897.19(b)(1)(B) - WARNING SIGN(S) <br />n ni <br />17897.20 - OPERATOR INSPECTION REQUIREMENTS I C)I 1 <br />17897.19(b)(2) - DISPOSAL SITE RECORD <br />V U <br />17897.19(b)(2)(A) - LAND DISPOSAL RESTRICTIONS <br />00 <br />17897.19(b)(2)(B) - OPERATING RECORD <br />00 <br />17897.19(b)(3) - FINANCIAL RESPONSIBILITY <br />00 <br />17897.19(c)(1) - CONTINGENCY PLAN <br />00 <br />17897.19(c)(2) - PERSONNEL TRAINING <br />010, <br />WE <br />17897.21(b) - SUBMIT PLAN FOR APPROVAL TO EA <br />00 <br />17897.21(c) -(d) - PLAN PREPARATION AND RESCHEDULED STARTING DATE <br />00 <br />17897.24 - COMPLIANCE WITH CLOSUREIPOST CLOSURE REQUIREMENTS <br />Comments: (Note: for additional or continued comments use the CIWMB 03 or attach additional pages.) <br />..Conducted monthly_ routine. inspection this date.__No.violation__or_area _of concern_ observed. <br />INSTRUCTIONS ON BACK <br />L E 1 2 3 <br />E <br />X <br />A <br />M <br />P <br />White - <br />Middle Pink - LEA Bottom - Yellow <br />