Please print neatly and fill in all the applicable bubbles or boxes on the forms. Use a blue or black ink pen only.
Page 1 (Survey Form) | Page 2 (Inspection Form) | Inspection Forms
Page 1–Survey Form (CIWMB 181)
Part A: Survey
TPID: The complete TPID (Tire Program Identification Number) including the suffix is an essential part of the inspection form. If the location under investigation needs a TPID and does not have one, the inspector is to call 1-866-896-0600 and help the operator obtain a TPID.
Local Identifier: This space has been included to provide the tire enforcement agency (TEA) with an opportunity to link the inspection form to their local database. If you don’t have a local number to fill in this space, leave it blank.
Business or Facility Name & Physical Address: Include the business name and physical address in this section (please print neatly).
Business Rep: This is the person that was contacted and authorized the inspection/visit.
Tire Count: Use whole tire counts/Passenger Tire Equivalents (1 PTE = 20 lbs.) or both. Tire pieces all the way down to ¼” in size are regulated and should be included in the tire count. Do not count tires that meet the rack and stack criteria.
GPS: Take a reading using a Global Positioning System (GPS) unit or obtain the coordinates from a map program using the facility/site address and record the readings in this section. Record the latitude/longitude in decimal degrees.
Inspection Type: Fill the bubble that describes the inspection type.
- A routine or periodic inspection or visit is prompted by regulation (e.g. minor waste tire facility permits are required to be inspected at least every 30 months and majors are to be inspected annually) or by the inspectors schedule, set to insure periodic visits of each location within their jurisdiction.
- A re-inspection is always preceded by an inspection in which a violation was cited. The Inspection Type will be considered a re-inspection until the violation is corrected.
- Observation is an Inspection Type that is spontaneous. (e.g. The inspector is in the field and sees a tire facility, a pile of tires or anything that causes them to inspect the site.)
- A Referral Inspection Type is prompted by the CHP, CalRecycle, a complaint, an Educational Visit request from the CalRecycle Hauler Unit, or by some Other agency. If the Referral box is checked, the inspector is to also select the corresponding Referral Type. Always try to find out from the referrer the appropriate Referral Type. If the Other (Referral Type) bubble is selected, name the referring agency (any local, state or federal agency) in the comment section of the report.
- The Educational Visit Referral Type is prompted by the Waste Tire Manifesting System database (WTMS) when multiple manifesting errors are detected over a set period of time. The WTMS Educational Visit is a Referral Type that prompts a focused inspection/visit to provide manifest training to a hauler, generator, or end use facility.)
Inspected By/Inspector: The inspector’s name and the applicable county or state code are to be recorded in this section. The county code begins with the traditional county number and ends with an assigned three-digit number.
Inspection Dates and Times need to be completed to provide the site’s history of compliance. This information is vital for agenda items and court hearings.
- Active: Active tire operation
- Closed: All the tires have been removed and operations are no longer, or never were, conducted at this location
- Inactive: Tires are present but operations are not active
- Planned: Location where waste tire activities are proposed.
Tire Type: Fill in applicable tire types stored on site. OTR = off the road tires
Business Role and Storage Type: Fill in all that apply. Specific standards are associated with indoor (14 CCR 17356) and outdoor (14 CCR 17354) tire storage.
Business Type: A business may conduct multiple activities (or business types) at one location. If the list of business types on the survey form does not contain the business type conducted at the location of the visit, choose other and print in the appropriate business type.
Part B: Inspection of Waste Tire Dealer Generator, Hauler, and End-Use Facility
V = Violation
A = Area of Concern—considered a warning, not a violation
- PRC § 42951: Use to cite unregistered haulers.
- PRC § 42953: Cite the person(s) that contract or use unregistered haulers to transport 10 or more waste or used tires.
- PRC § 42956: Cite haulers for missing or improperly placed decals or certificates.
- 14 CCR § 18459: Cite exempt or registered haulers, facilities or generators for not completing, signing, or using logs and/or manifests.
- 14 CCR § 18459.1: Choose this section to cite anyone who doesn’t have (but needs) a TPID.
- 14 CCR § 18459.2.1: Cite for exceeding manifest document submittal time limit (90 days).
- 14 CCR § 18459.3: Cite if records are not retained for 3 years.
- 14 CCR § 18460.2: Cite registered haulers for not showing proof that the vehicle is registered, incomplete manifests, not carrying copies of manifests and trip logs in the vehicle, not leaving a copy of manifests anywhere tires are dropped off or picked up, hauling waste tires to unauthorized locations, not reporting generators or end use facilities that do not use or properly complete the manifests, transporting tires without completed manifest forms and/or trip logs.
- 14 CCR § 18461: Cite the end use facility for manifest violations, record retention, mailing forms.
- 14 CCR § 18462: Cite tire dealers or waste tire generators for manifesting violations, contracting or making arrangements with unregistered haulers.
- Other: Cite CIWMB laws or regulations that are not listed on the inspection report in this space. Cite any applicable (tire related) local code violation in the comment section. Do not fill the Other bubble for local code violations or record local code violations in this section.
Enforcement Status: If a violation is documented, fill in the Notice Of Violation (NOV) bubble and assign a Compliance Deadline (give the operator the Standardized NOV and the appropriate law or regulation handout). The Compliance Deadline Date (CDD) is normally around 30 days. However, the inspector may exercise their discretion when assigning a CDD.
If an Extension of the CDD date is granted, fill in the bubble and record the new CDD. If the site/operator is referred for/or already under CalRecycle Enforcement or if the site/operator is referred to some other agency, fill the referred/CalRecycle bubble. Note the entity to whom the case was referred in the comment section. If there are no violations found during the inspection, fill in the In Compliance-No Violation bubble.
Comments: Summarize the inspection. Capture specific details that may be useful in case prosecution or simply to convey information about the site, operator, or the violation. If a violation is cited, be sure to note that the NOV and applicable handouts were distributed to the Business Representative.
Page bubble: (Lower Left) Fill in the bubble indicating if the inspection form and/or extra comment form is included with the survey (page 1) form. Use page two, Inspection Form, for permitted & exempt facilities or when an excluded facility is in violation of the Waste Tire Storage & Disposal Standards.
Signatures: Sign the form and have the Business Representative that authorized the inspection sign the form.
Page 2–Inspection Form (CIWMB 182)
NOTE: Use this page for unpermitted, permitted, exempted, and for excluded facilities that are in violation of tire storage standards.
Part C: Facility Information
TPID: Please fill in the TPID. Make sure it is the same TPID that is on page one.
SWIS: If the facility has a SWIS number, record that number in this space.
Property Owner: The name and mailing address of the property owner is to be included in this portion of the report. The property owner is ultimately liable for tire storage violations at the location.
Inspection Report Number: This is not a stand-alone form. Be sure to use the same Report Number in this section that is displayed on the corresponding Survey Form (page one).
Photos Taken: Fill in the bubble to indicate whether or not pictures were taken during the inspection.
Exempt & Excluded Business Type: If the site is exempt or excluded, fill in the applicable bubble. Please do not fill more than one bubble. Exclusions cannot be combined with other exclusions, exemptions, or with a permitted facility.
Permitted Regulatory Status:
- Permitted: The facility has a current waste tire facility permit issued by the CIWM
- Exempt: The operator has a Cement Manufacturing Plant Exemption that was issued by the Board
- Excluded: A facility that fits into one of the excluded categories listed in Title 14, CCR §18420 or PRC §42808. Choose only one. Exclusions cannot be combined with other exclusions, exemptions or with a permitted facility
- Unpermitted: The facility does not have, but is required to have a valid permit, exemption, or exclusion.
Facility Type: Fill in the applicable bubble & be sure the number of waste tires or PTE on-site fall between the associated ranges.
Part D: Inspection of Waste Tire Facility
Waste Tire Storage Standards
- PRC §42824. Cite this code for unpermitted major waste tire facilities or for the directing, transporting, or accepting of waste tires at an unpermitted major waste tire facility.
- PRC §42834. Cite this code for unpermitted minor waste tire facilities or for the directing, transporting, or accepting waste tires at an unpermitted minor waste tire facility.
- PRC §42850(a). Cite this code when a person negligently violates any provision or any permit (term and condition), rule, regulation, standard, or requirement issued or adopted in Chapter 16 of the PRCs.
- 14 CCR §18420(a). Cite when a waste tire facility operator does not have a permit. Could be an unpermitted facility, excluded or exempt facility that no longer meets exclusion or exemption criteria or a permitted facility that let their permit expire.
- 14 CCR §18423. Use this citation when the operator fails to apply for a major or minor permit or permit renewal.
- 14 CCR §18432. Cite permitted operator(s) for not keeping their Operation Plan updated.
- 14 CCR §18433. Cite permittee for not maintaining a copy of Emergency Response Plan (ER) at the facility, forwarding the ER to the fire department, revising, updating, or notifying the Board of revisions to the ER within 30 days, or for not notifying the Board of a fire event, or submitting a written report to the Board describing the fire event within 30 days.
Record Keeping Requirements:
- 14 CCR §18447. Cite for not keeping records at the facility or lack of record retention (3 year minimum).
Fire Prevention Measures:
- 14 CCR §17351. Cite for inadequate: communication equipment, fire aid equipment, or water supply.
- 14 CCR §17352. Cite for not posting proper signs (public facilities only), attendant not being present, ill maintained access roads, or lack of access control (lockable gates, fences, etc.).
- 14 CCR §17353. Cite for lack of/or ineffective vector control measures.
Storage of WasteTires Outdoors:
- 14 CCR §17354. When citing this violation, be sure to choose and fill the appropriate subcategory bubble.
- 14 CCR §17356. Cite violations of the National Fire Protection Association, NFPA 231-1989. If necessary, solicit help from the local fire protection agency–they can also approve alternative standards.
For more information contact: Tire Enforcement, WasteTires@calrecycle.ca.gov