Waste Tire Enforcement Grantees

Inspection and Enforcement Forms

Grantee inspectors are required to use the CIWMB forms on this page for inspections, referring noncomplying facilities, and documenting surveillance activities. Following are descriptions of the forms and sample and/or downloadable versions.

• Waste Tire Survey and Inspection Report
  • View Sample Forms: Waste Tire Survey and Inspection Report
• Notice of Violation and Citable Offenses Handouts (downloadable)
• CIWMB Referral Form (downloadable)
• Surveillance Form (downloadable)

Waste Tire Survey and Inspection Report

When the grantee is acting on behalf of the CIWMB’s Waste Tire Enforcement Program and educating or inspecting a facility, hauler or business, the grantee documents the results of the inspection CIWMB Forms 181 (Survey Form), 182 (Inspection Form), and 183 (Comment Form). These forms must be ordered from the CIWMB (not downloaded), as they are in triplicate. They may be ordered on line or obtained by using the phone number and e-mail address at the bottom of this page.

• View Sample Forms
  Sample forms are available for viewing only. Since they are samples for viewing only, they are not printable and must not be used in the field!
  • Survey Form (Sample), CIWMB 181 (Adobe PDF, 23 KB). This is page 1 and includes Part A: Survey, and Part B: Inspection of Waste Tire Dealer, Generator, Hauler, and End Use Facility.
  • Inspection Form (Sample), CIWMB 182 (Adobe PDF, 22 KB). This is page 2 and includes Part C: Facility Information and Part D: Inspection of Waste Tire Facility.
  • Comments Form (Sample), CIWMB 183 (Adobe PDF, 11 KB). This is the form for comments.

Instructions for the Survey and Inspection forms are found on the back of the forms and also on CIWMB's website. The reverse side of the Comments Form includes information on how to count tires.

Notice of Violation and Citable Offenses Handouts

Grantees document violations on Waste Tire Survey and Inspection Report forms (CIWMB Forms 181, 182, 183) and provide a re-inspection date in the enforcement status box of the Survey Form 181. When the Inspector issues an inspection report that notes a violation, the notice of violation and citable offenses handouts should be given to the operator to inform them of their rights and responsibilities. The notice of violation and citable offenses handouts are to be printed from this web page and used in the field.

• Notice of Violation Handout May, 2008 (downloadable, Adobe PDF, 61 KB) This handout explains the Notice of Violation process and details the responsibility of the owner/operator/hauler. Inspectors provide this handout with a copy of the above Inspection Report to inform the operator of violations of the Public Resources Code and/or Title 14 of the California Code of Regulations.
• Citable Offenses Handouts (downloadable)
  These handouts list and explain the statutory and regulatory violations noted on the Inspection forms. The inspector checks off the pertinent violations and provides a copy of the Inspection Report to the operator along with the notice of violation handout and appropriate citable offenses handouts.
  • Permit Requirements (Adobe PDF, 35 KB)
  • Storage and Disposal Standards (Adobe PDF, 54 KB)
  • Hauling and Manifesting Requirements (Adobe PDF, 33 KB)

Only one extension of a compliance deadline date may be given to a business, and only if a good faith effort can be documented (on the inspection report).

CIWMB Referral Form

If a business is still in violation after an initial inspection, the grantee may extend the compliance date once if a good faith effort can be documented. In cases where compliance has not been achieved after the second or third inspection the grantee shall refer the violation to the CIWMB for further enforcement actions within 30 days of the last inspection. Referrals shall include a chronology of the enforcement history and/or statement of facts, photographs and copies of inspection forms or inspection form numbers. Referrals can be sent via e-mail or mail to the Field Staff Contact and their supervisor. Once a facility has been referred to the CIWMB, all grantee inspections will be coordinated through the CIWMB, until that facility is in compliance.

• CIWMB Referral Form, CIWMB 228 (Word, 62 KB | Adobe PDF, 18 KB).

Inspectors should provide this form as a cover letter when a violation has been referred to CIWMB in the "Enforcement Status" section of the Survey Form (page 1 of the Waste Tire and Inspection Report, CIWMB 181). Note: The referral form may be printed and used.

Surveillance Form

Grantees document illegal tire piles over 499 tires or illegal hauling activities through the inspection process outlined in Task 1 (CIWMB form 181, 182, 183, 184). However, grantees may augment the State’s enforcement program by conducting enforcement activities for illegal waste tire dump sites with fewer than 500 tires. These sites are a public nuisance and a blight on the community, and they pose a threat to public health and safety and the environment; therefore, the Waste Tire Enforcement Grant is intended to support the grantee’s authority to deal with these situations through local laws and ordinances.

Grantees perform additional surveillance, such as identifying unregistered Waste and Used Tire Haulers, working with local law enforcement officers to cite illegal Waste and Used Tire Haulers, and conducting surveillance including patrolling, the use of cameras, stings, or other proven surveillance methods.

• Surveillance Form (Excel, 26 KB) is to be used when the grantees conduct the above activities. The log provides required information including location of the activity, time spent, staff involved, what was found, and the action that will be taken to remediate the situation.

Last updated: June 02, 2008