California Department of Resources Recycling and Recovery (CalRecycle)

Local Enforcement Agency (LEA) Central

Inspection Report Order Form

CalRecycle is phasing out the use of triplicate paper versions of inspection report forms. LEAs are encouraged to “go paperless”, if they are not doing so already, by using the SWIS Digital Inspection Program to submit inspection reports. Fillable PDF versions of each of the inspection reports are also available.

This form is provided for local enforcement agencies to order inspection report forms over the Internet. Please complete the form below and use the "submit order" button at the bottom of this page to place your order.

Contact Information

Your Name:             *

Email Address:             *

Agency: *

Address:  *

City/State/Zip:  *

Phone Number:             *

Fax Number:             *

*Required Field

Enter Number of Inspection Forms Requested
Asbestos Containing Waste Disposal Site Inspection Report Addendum (CIWMB Form 52A)

Ash Transfer/Processing Operations and Ash Disposal/Monofill Facility Inspection Report (CIWMB Form 626)

     Closed Disposal Site Inspection Report (CIWMB Form 188)
     Triplicate paper versions of this inspection report are no longer available.
     Please use the fillable PDF (1.7 MB) version of the form or SWIS DIP.

Compostable Materials Handling Operation and Facility Inspection Report (CIWMB Form 93)

Construction/Demolition/Inert Debris Transfer/Processing Facility Inspection Report (CIWMB Form 213)

     Disposal Facility Inspection Report (CIWMB Form 52)
     Triplicate paper versions of this inspection report are no longer available.
     Please use the fillable PDF (1.7 MB) version of the form or SWIS DIP.

Inert Debris Engineered Fill Operation Inspection Report (CIWMB Form 215)

Inspection Report Addendum (CIWMB Form 3)

Nonhazardous Petroleum Contaminated Soil Operation and Facility Inspection Form (CIWMB Form 76)

Transfer Operation Inspection Report (CIWMB Form 73)

Transfer/Processing Facility Inspection Report (CIWMB Form 53)

 
Last updated: May 28, 2010
LEA Support Services, http://www.calrecycle.ca.gov/LEA/
Donnaye Palmer: Donnaye.Palmer@calrecycle.ca.gov (916) 341-6321