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',STATE OF CALIFORNIA 11 »f i t�i REA1 T1f . <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES ��a�� 1 / <br /> SOLID WAETE MANAGEMENT BOARD 55 JUL � � f� Q• O <br /> DEPARTMENT OF FORESTRY ,�• _ <br /> APPLICATION FOR <br /> FACILITY PERMITIWASTE DISCHARGE <br /> This form is to be used for filing a/an: (check all appropriate) FOR OFFICE VSK ONLY <br /> 1. I REPORT OF WASTE DISCHARGE Form 200 Recd <br /> (pursuant to Division 7 of the State Water Coda) Fee(RWOCB) _ (SWMB) <br /> 2. CJ 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 Data <br /> IDurtuent to Government Code Section 66796.30) <br /> 4. APPLICATION FOR A RUBBISH DUMP PERMIT COF Notified <br /> (pursuant to Public Resources Code Sections 4371—4375 and 4438) DOHS No. <br /> SWMS No. <br /> 1. FACILITY <br /> A. NAM• OF FACILITY ♦l la.w Ow■ • <br /> TRIPLE E PRODUCE CORPORATION ( 209 ) 835-5123 <br /> _8_690 L.INNE RD . , P . O . BOX 239 TRACY CA 95378 <br /> a. NANK OF LUSAL OWN190 OF FACILITY r■L■FwOw■ • <br /> 1 1 <br /> •OO O... II•!00■ <br /> C HANK OF au.INaa■OFaRATING FACILITY T■a■Fw Ow■ . <br /> TRIPLE E PRODUCE CORPORATION 1 ( 209 ) 835-5123 ' <br /> .DCO■.. 11 !.� <br /> 8690 L.INNE RD . , P . O . BOX 239 , TRACY , CA 95378 <br /> D. TYPa OF aUNINaae DOMINATING FACILIT_1I <br /> 0 Sole Proprietorship ❑ Partnership a Corporation Government Agency <br /> [. <br /> MANX OF OWNIENIIII OF avalNaaa OPKOAT7N0 FACILITY :GL■Fa sw■ <br /> AD■e■..Fw■wG ...... Nw. ■■ .aa Yae all co■a <br /> 11. RaASON FOR FILING <br /> cw■e■ Au A..we.w1AT.. <br /> A. fa <br /> New discharge or facility D. Change in character of discharge G. Change In business operating oilitY <br /> B. Existinq discharge or facility E. Change ire place or method of disposal H. Enlaryerltent of existing facility <br /> C. X Increase In quantity of discharge F. X Charge in design or operation I. Other(explain below) <br /> 111. TYPa OF O►aRATION <br /> AIL <br /> ATransfer station D. Sewage treatment G, Woodweate site <br /> 8. Solid wave disposal site E. Industry(on-site disposal facility) H. Other(explain below) <br /> C. Hazardous waste disposal site s .1 F.f Industry(discharge to sower) <br /> FRESH MARKET TOMATO PArVTNf <br /> IV. TYPS OF WASTS <br /> CwGCM Aaa A.F■OIw1ATC: <br /> 1 <br /> A. Sewage,sewage sludge,and/or E. Agricultural weates I. Inert materlale <br /> septic tank pumping• <br /> 8 Industrial wastes F. Animal wastes J. Dead animab <br /> C Municipal solid wastes G. Forest product wastes K. Tires <br /> D Hazardous wastes H. Construction/demolition wastes L. Other(explain WOW) <br /> GROUNDWATER CONTAINING CHLOROFORM ( ApnrnXlmatg1V a- Snn�w;h) <br /> V. SITE OKSIGN CAPACITY <br /> • ♦O a.awT•O.vaA TSOw OC CA/ALIT• G.D■.•Gar <br /> ---TI■M ear YLTINATG CAPAC.T7 !.YFa Gx NlTAw eY TGA** <br /> 57 , 600 57, 600 Sap 10 <br /> low""a(wev.•/H) �.. . . . (0 VCR) .--a++.. /,.r.^. <br />