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r a 7 r <br /> �- �N Ali I <br /> ,,iTATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT BOARD j <br /> { DEPARTMENT OF FORESTRY <br /> APPLICATION FOR <br /> FACILITY PERMITMA TE DISCHARGE <br /> This form is to be used for filing alan: (Check all appropriate) FOR OFFICE USE L)NI.y <br /> 1. ®X REPORT OF WASTE DISCHARGE Form 200 Ree d _^'-_ <br /> (pursuant to Division 7 of the State Water Coda$ Fee IRWQCBI M <br /> ISWB) <br /> 2. APPLICATION FOR A HAZARDOUS WASTE FACILITY P RMIT Letter to Discharger <br /> Ipursuant to Hsaith and Sa`aty Code Section 25200$ Report Reed___ — <br /> 3. ❑ APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Effective Date <br /> (pursuant to Government Code Section 66796.301 <br /> COF Notified <br /> 4. ❑ APPLICATION FOR A RUBBISH DUMP PERMiT — <br /> tpursuant to Public Resources Code Sections 4371-4375 and 44381 OOHS No. �_ <br /> SWMB No. <br /> –'�— — 1. FACILI Y <br /> 1 �EP <br /> A. NAME Or FACILITYt <br /> FAST GAS 1209MONE <br /> 1 333-9718 <br /> --- - 11P COOK <br /> 800 EAST HIGHWAY 12, LOD1 , CA 95240 <br /> e. NAME OF LEGAL OWNER OF FACILITY it LR PNON■ • <br /> DOUGLAS/KAYO OIL COMPANYr _ 1615 1 756-5770 <br /> 21P<tl Pa <br /> AOOR[{{ <br /> 1221 EAST MAIN STREET, CHATTANOOGA TN 37408 <br /> ii NAME OF SUSINESa OPERATING FACILITY reef PwoNE <br /> SAME AS ABOVE X209 368-2731 - <br /> - [IP Coo[ <br /> neo R[[■ <br /> 900 S. CHEROKEE LA.-JE, P.O. BOX 190, _LODI CA 5241 <br /> o. TYRE OF EUaINEEE OPERATING FACILITY <br /> Sole Proprietorship Partnership X Corporation Government Agency <br /> E. NAME OF OWNWR[Sl OF OUSINEss OPERATING FACILITY TREPw PNE r <br /> ( 615 1 756-5770 <br /> KIP CODE <br /> AOOR■{{R'NERE LEGAL NO"C[MAV as fERVan . <br /> 1221 EAST MAIN STREET, CHATTANOOGA, TN 37408 <br /> -- 11. "49^9414 F R FILING - <br /> WEC•ALL APPROPRIATE: - <br /> A. X New discharge or facility D. Change in character of discharge G. Change in business operating facility <br /> B. Existing discharge or facility E. Change in placeor method of disposal H. Enlargement of existing facility <br /> C. Increase in quantity of discharge F. Change in design or operation I. Other lexplain below) <br /> -- 111. TYPE OF OPERATION <br /> C,.erw ALL APPROPRIATE: <br /> A. Transfer station D. Sewage treatment G. woodwaste site <br /> B. Solid waste disposal site E. X Industry (an- ite disposal facility) H. Other(explain below) <br /> C. Hazardous waste disposal site F. Industry Idischarge to sewer) <br /> IV. TYPE 017WAST6 <br /> CMEC,1 ALL APPROPRIATE: <br /> A Sewage,sewage sludge,andlor E, Agricultural wastes f. Inert materials <br /> septic tank pumpings <br /> 13. y Industrial wastes F. Animal wastes J. Dead animals <br /> C. Municipal solid wastes G. Forest product wastes K. Tires <br /> D. Hazardous wastes H. Constructionj demolition wastes L. Other(explain below) <br /> V. SIT[DESIGN CAPACITY <br /> A. PRE{EMT POPULATION 00 CAPACITY E.OE{ION POPULATION OR ULTIMATE CAPACITY C.LIFE ox"' <br /> CTANCT 1T9^mlbv <br />