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'o TATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT BOARD <br /> DEPARTMENT OF FORESTRY <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This form IS to he used for filing a/an: (check all appropriate) FOR OFFICE USE ONLY <br /> X] REPORT OF WASTE DISCHARGE Form 200 Recd __ _ <br /> REP(pursuant to Division 7 of the State Water Code) Fes(RWOCS) (3YIII1AB) <br /> 2. �J APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter to Discharger <br /> (pursuant to Health and Saisty Code Section 25200) Report Recd <br /> 3. �� APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Effective Date <br /> (pursuant to Government Code Section 66796.30) <br /> 4. APPLICATION FOR A RUBBISH DUMP PERMIT CDF Notified <br /> (pursuant to Public Resources Code Sections 4371—4375 and 4438) OOHS No. _ <br /> SWMB No. <br /> I. FACILITY <br /> A. NAM/ OF FACILITY ♦. Ow• • <br /> TRIPLE E PRODUCE CORPORATION 1 ( 209 ) 835-5123 <br /> .11 COOK <br /> 8690 LINNE RD . , P . O . BOX 239 TRACY CA 95378 <br /> a. NAME OF LEGAL OWNER Or FACILITY r/L■PM.wa• <br /> 1 <br /> .oOw... <br /> il.COO <br /> C NAME OF ■U.INa9■OPERATING FACILITY 1/L/►MOM/ • <br /> TRIPLE E PRODUCE CORPORATION ( 209 ) 835-5123 ' <br /> AeOw•.. •1 ca <br /> 8690 LINNERF <br /> D . , P . O . BOX 239 , TRACY , CA 95378 <br /> I>. TTFK OF <br /> E • RA <br /> Sole Proprietorship, Partnership a COrppretlon Govmment Aplsey <br /> E. MAMA OF ow"Unjej OF aualMaEa OFaR A71MG FACILITY Tal/PM spa■ • <br /> AOR......•.•-AL went. rA• wa Paw V/O __- 11P coon <br /> I1. REASON FOR FILING <br /> CMwCw ALL A..4e.11A•w' <br /> ANew discharge or facility D. Change in character of discharge G. Change in business operating fecility <br /> 8. NX <br /> Existinq discharge or facility E. Charge n m <br /> in place or method of disposal H. Enlarg• ant of existing fatility <br /> L Al <br /> C. Increase In quantity of discharge F. X Change in design or operation I. Other(explain bolow1 <br /> I11. Tyra OF OPERATION <br /> I—C. ALa A..wo.wl.•.. <br /> A Transfer station D. Sewage treatment G. 8 Woodwasts sits <br /> 8. Solid wilts disposal site E. Industry(on-site disposal facility) H. Other(explain below) <br /> C. Hazardous waste disposal site F' Industry(discharge to lower) <br /> FRESH MARKET TOMATO PACU Tun !!1' <br /> IV. TYPE OF IlyfillTi <br /> cwwc. .LL...we.F1A..: <br /> A. SewsOa,96"00 sludge,and/or E. Agricultural wastes 1. Inert matW <br /> ws <br /> septic tank pumping• <br /> B. Industrial"setas F. Animal wastes J. Dead animals <br /> C Municipal solid wastes G. Forest product west" K. Tires <br /> D Hazardous wastes H. Construction/demolition wastes L. Other lexplain below) <br /> _SzROUNDWATER CONTAINING CFILOROFIRM ( APP r n X i M n t P I )Z 4-500 nnh ) <br /> V. OITt Ottla"CAPACITY <br /> .w..•w•.ewuaow o.C...CI•• •.O/inch POPV L,ATIM M W4.11.-TE QA►AQITY t.VI/aRPetYAwa• Yn.w• .,iy. <br /> 57 , 600 _ 57 10 <br /> r rtlMt nel'rl.b. r..�•." A'Y �'...DCirt..8a v..` dt r.F".1" `>rI;A - ,jAI:C, «•!I _ .,r '1 reo�44 .r aft <br /> PowA.9se^(waY:•rNl. fO VtR1 <br />