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'6TATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT DOARD A <br /> DEPARTMENT Of FORESTRY <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE - <br /> This form is to be used for filing a/an: (check all appropriate) FOR OFFICE vas ONLY <br /> I. X REPORT OF WASTE DISCHARGE Form 200 Recd __ _ <br /> I' (Pursuant to Division 7 or the State Water Code) Fee(RWOCB) _ (SWIMS) <br /> 2. ❑ APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter to Discharger <br /> (Pursuant to Health and Safety Code Section 252001 Report Recd <br /> 3. APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Effective Date <br /> (pursuant to Government Coda Section 88796.30) <br /> 4. APPLICATION FOR A RUBBISH DUMP PERMIT CDF Notified <br /> (pursuant to Public Resources Coda Sections 4371-4375 and 4438) DOHS No. _ <br /> SWMB No. <br /> 1. FACILITY <br /> A. NAME Or FACILITY tf as rwowf <br /> TRIPLE E PRODUCE CORPORATION 1 ( 209 )'835-5123 <br /> NA86906412�P a LINNE GAL OW.Un eRDFACILITYP . O . BOX 239 TRACY CA 9 378 <br /> a . <br /> ( 1 <br /> C NAMa Or ■USINaaa OPERATING FACILITY •euP«esu.• <br /> TRIPLE E PRODUCE CORPORATION ( 209 ) 835-5123 " <br /> o. TY8690VeL.IaNNERARD ,_, P . O . BOX 239 , TRACY , CA 95378 <br /> ElS01.Proprietorship ❑ Partnership o �drpoT,tfen ❑ Government Apsley – <br /> i7 NAM. OF OWPlER1111 OF aUalNaaa OPERATING FACILITY ♦e\■Meese'• <br /> A Oewe.a w«a,f lee.\«OTIC■Y,• e■ few YEO ■M fOe■ <br /> n. RaAaON FOR FILING <br /> I.— All.r.,e.,IA... <br /> A. New discharge or facility D. MCharge in character of discharge G. Change in business Operathg facility <br /> 8. HX <br /> Existing discharge or facility E. Charge in place or method of disposal H. Enlargement of•xitdnlg faellkY <br /> C. Increase In quantity of discharge F. rxi Charge in design or operation 1. Other(explain belcwl- <br /> III. TYPE Or OPERATION <br /> .<. <br /> ALL, <br /> A. Trsn, statiO. Sewge atreatment G. WoodwEste sit• <br /> 8. Solid west• on disposal sit,, E. hpoea <br /> E. Industry(o"ite dI fadlityl H. 8 Other(etmlain belose) <br /> C. Hazardous waste disposal tit* F. Industry(dbchwge to sawed <br /> FRESH MARKET TOMATO PACKING <br /> Iv. TYPE OF WASTE <br /> cweew A\L...vera A.f. <br /> A. sewage,sewage sludge,and/or E. Agrieultural wastes I. Inertmeter". <br /> septic tank pumpings <br /> B. Industrial wast" F. Animal want" J. Dead anirnah <br /> C Municlpaf solid wastes G. Forest product wast" K. Tires <br /> D. Her•rdous wastes H. Construct ion/dernof It ion wast" L. Other(explain babes) <br /> _�ROU_NQ_WATER CONTAINING CHLOROFOfZM (A,n�nrnximatf=l�/ 4, 5t1f1�Tb) <br /> V. 917E OEfsGN CAPACITY <br /> • ..esu u..e,e.<.r.clT• e.slaw►ePv►Anew esu e\nrwTe ewPAeTTf L <br /> .wag urs eTAw.• •awe ti ,•, _ .,..�.. <br /> 57 , 600 10 <br /> _ -- _ .•y�.� w:• +n :[alai: e•1►:x n r r..;F.-.tn nbMMutt`t♦R `.�l''i •� <br /> Fawn sef'Iwev:tlafl.. I••IVTaN rI. �, r. . .•r.4 .., �-;t.►• .. •' fOVYftI � s'. ..�'•�'�•eM , � _,a.}+S. <br />