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F 1, <br /> Form 200-R5-FP <br /> REPORT OF WASTE DISCHARGE TECHNICAL INFORMATION <br /> ORDER NO. R5-2009-0097 <br /> WAIVER OF WASTE DISCHARGE REQUIREMENTS FOR <br /> SMALL FOOD PROCESSORS AND SMALL WINERIES <br /> CALIFORNIA REGIONAL WATER QUALITY CONTROL BOARD, CENTRAL VALLEY REGION <br /> Complete all applicable sections of this form. The Executive Officer will not issue a Notice of <br /> Applicability unless the Report of Waste Discharge is complete and demonstrates that Order <br /> No. R5»2009.0097 is applicable to the proposed discharge. <br /> I certify under penalty of law that I have personally examined and am familiar with the information submitted in <br /> this document and all attachments, and that based upon my inquiry of those individuals immediately responsible <br /> i for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there <br /> a ant p or sub Ming f se information, including the possibility of fine. <br /> 3- 30 - Roto <br /> (Sugg (date) <br /> CO S_�`0— <br /> (printed name) <br /> FACILITY MAPSIPLANS <br /> Site Location Map: provide a scaled map that depicts the location of the facility, property, on-site wells, <br /> streets, and nearby surface waters. <br /> Processing Facility and Discharge Area Plan: provide a scaled plan that depicts the processing facility, <br />+ wastewater pipelines, wastewater storage structures, residual solids storage areas, storm water <br /> i drainage features, and all land application areas. <br /> Other Maps or Plans (Optional): provide other maps, plans, or sketches as desired to illustrate typical <br /> design features to supplement your response to the questions below. <br /> There:are several riline`:tools th at<are qofurjd.devefopi the required maps and plans <br /> Man:y.Internetsearch eogines:provide scaled street:maps.andloraerial:photos.that-can:be <br /> Adapted for use. <br /> TerraServer;:USA(hftp/lterraserVer-usa.com):allows;.you to;download pprdons:of United: <br /> States Geohogi.cal Suivey topographie.rnapsshat show topography and-surface waters. <br /> These cane printed,direetly.of imported into most spftwareapplicatioRs: <br /> Le' Ebla hand.drawnma S.are..acce table .; ' ., . . <br /> Page 1 of 9 <br /> I <br />