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State of California <br />CIWMB 169 (Rev 4/04) <br />ENFORCEMENT AGENCY NOTIFICATION <br />California Integrated Waste <br />Management Board <br />Enforcement Agency: Official Use Only <br />SWIS Number: <br />County: Date Received: <br />I. GENERAL INFORMATION <br />Operation Name: <br />I Green Earth Recovery <br />Address: <br />120500 Holly Or <br />I City: <br />I Tracy <br />State: <br />CA <br />Zip: <br />95304 <br />Phone: 1 <br />510-760-0977 <br />Fax: <br />ruintl@outlook.com <br />Operator Name: <br />I Yayo Enterprises <br />Address: <br />I P.O. Box 2643 <br />City: <br />I Union City <br />State: <br />CA <br />Zip: <br />94587 <br />Phone: 1 <br />510-760-0977 <br />Fax: <br />ruintl@oudook.com <br />Land Owner: I <br />Holly Commerce Center, LLC c/o Steve Cortese <br />Address: <br />121 Lafayette Circle, suite #200 <br />City:Lafayette <br />I State: <br />I CA <br />I Zip: 1 <br />94549 <br />Phone: <br />925-283-8777 1 <br />Fax: <br />925-283-8275 <br />If. OPERATION INFORMATION <br />Authorizing Eligibility (Slate Section of 14 CCR Divblon 7, Chapter 3 or 3.1): See back for more details <br />17862.1 <br />Type(s) of Waste/Material Handled: <br />GREEN WASTE, WOOD <br />Volume of Waste/Material Handled: <br />Peak Loading: <br />1 ❑Cubic Yards or❑Tons I <br />Annual Loading: <br />❑Cubic Yards Q❑Tons <br />Days and Hours of Operation: <br />I Mon — Saturday / 7AM to 3PM <br />Operation Acreage: <br />13.1 <br />Brief Description of the Operation: 1 <br />9-115.345 — AG wastes / 9-505.2 Industrial Zone <br />"Storage, stockpiling, sacking and sale of waste products and by products including composting." <br />Receive green waste, chip and screen into 3 different sizes, then remove larger and compost fines. <br />Receive wood, chip and screen into 2 different sizes, then remove larger and compost fides. <br />III. DOCUMENTATION OF LOCAL NOTIFICATION (check one and submit with EA Notification) <br />❑ <br />Proof of Compliance with the California Environmental Quality Act (CEQA). <br />El <br />from the local planning department that compliance with CEQA is not required for the operation to <br />obtain local land use approval. <br />obtain <br />Written notice to the local planning department of the operator's intent to commence operations. <br />IV. OWNERIOPERATOR CERTIFICATION <br />I hereby certify under penalty of perjury [Athe Informatio vid d is true and accurate to the best of my knowledge and belief. <br />Signature of Land Owner: <br />f(:L LLC. <br />Date: <br />Signature of Operator: <br />Date: <br />' Completion of this form is not required by regulation; however, it will provide the enforcement agency with the information required by 14 CCR 18103.1. <br />• A separate Notification is required for each eligible operation. <br />