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---_-- - <br /> ,...' .^Fns OF -A'_T:.: - <br /> IE f.RTM LNT OF FORESTRY <br /> .d, <br /> APPLICATION-FOR <br /> FACILITY`PERM IT/VVASTE DISCHARGE= - <br /> This form,is to be used for filing a/an .-(check all appropriate) - <br /> � <' - --" - _ -'r(,- FOR OFFICE USE ONLY <br /> 1. Ld l R SPORT OF WASTE DISCHARGE - - Form 200 Recd- -(Pursuant to to Division.7 otihe State.Water Code)- Fee MWOCBI--= <br /> 2- APPLICATION FOR A HAZARDOUS WASTE FACILITY- PERMITc - - - ---- <br /> (pursuant to Health and Safety Code Section 25200) Letter to Discharger <br /> 3_ i_: APPLICATION FOR ASOLI D WASTE-FACILITIESPERMkT - ReportRec'd <br /> (pursuant to Government Cgde Section 66796.30) - Effective Date <br /> VAPPLICATION FOR A�RURSISH DUMP PERMIT - - i CDF Notified -_- _- <br /> (pursuant to Public Resources Code Sections 4371-4375 and 4438) DOHS No. _ <br /> 1. FACILITY <br /> -. NRM2 OL FA CI L:TY <br /> PANELLA TRUCKING I {e 209 )` 943-5000 <br /> 5000 '�. FREMONT STREET, STOCKTON, CA) 95215 CeOe <br /> 9. NAME OF'LEGAL OWNER OF FACILITY <br /> RLCI«erve i <br /> PANELLA PROPERTIES LTD. ( 209 ) 943 5000 <br /> P . 0 . BOX 5010, STOCKTON., CA 95205 _ <br /> NAME DF BYSINE55 OVERATIN_G FACILITY <br /> uv«orve <br /> PANELLA TRUCKING ( 209 ) 943-5000 <br /> a-TYPE oF'»DSOE35BOXw5010cILISTOCKTON, CA 95205 <br /> ❑ Sole Proprietorship a Partnership corporation �j <br /> UU Government Agency <br /> E. Np>ME OF OWNER 5 OF BUSINESS OPERATING FACILITY _ <br /> - T6Lf PNON; w <br /> e ROBERT A. PANELLA GENERAL PARTNER <br /> 209 943-5000 <br /> 943 5000 <br /> 5000 E. FREMONT STREET, STOCKTON, CA 95215 <br /> 11. REASON FOR FILING - <br /> c«eeN.0 w..ro.Nlwre: <br /> A. g 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 place or method of disposal H. Enlargement of existing facility <br /> "C. Increase in quantity of discharge F. Change in design or operation L Other(explain below) <br /> 111. TYPE OF OPERATION '. - <br /> c«sew <br /> A. Transfer station D Sewage treatment GWoodwaste site <br /> B. Solid waste disposal site _ E Industry (on-site disposal facility) H. <br /> .C: -Hazardortswaste d"Isposaf8 Other(explain below) <br /> zite - - 'F =industry-(discharge to sewer)" - - '.CLOSED SYSTEM - <br /> TRUCK- WASH <br /> 1V. .TYPE OF WASTE.--�_-_ <br /> A Sewage,sewage sludge,andfor <br /> septic tank pumpings - E-' Agricultural wastes " _ L Inert materials <br /> B. Industrial wastes F. Animal wastes .J- Dead animals <br /> C- Municipal solid wastes - -I-- - ^ <br /> G. Forest product wastes K. Tires <br /> D. Hazardous wastes H- Construction/demolition wastes L g Other(explain below) <br /> TRUCK WASH WATER <br /> V. SITE DESIGN CAPACITY <br /> ...wCae«T.O.V LwT.O«Ow<w.wC.TY -Ofw.CN MTION ON VLTIMwTe'CwlwelT -Y.;a;.ec{ANCY w <br /> N.A . N.A. <br /> — <br /> OFM 30p (REV.S(t0) (OVER) <br />