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AMAXIMUM V1. QUANTITY OF WASTES <br /> • _ <br /> ►RKSENT OR ROPOS D I I AVaw AGE 1 ■, DESIGN PLOW IN MOD <br /> DAILY PLOW rIN MGD : I ) 1 <br /> _ I No discharge _ <br /> G. SOLID WAST[ DISPOSAL I OAILT•Y ANTITT I TOTAL IN.LACK GUAM TIT• D. AREA IH WHICH sOl WILL SE DISTURBED I TOTAL SITE Aw.A <br /> SIT[ (IN TON5 on i /A I (IN ACRES) <br /> N1 <br /> CLINIC VARDt): I <br /> V11. LOCATION OF POINT OF DISPOSAL OR OPERATION - — - <br /> (O[SION AND ATTACH MAP, SKETCH,OR LOCATION ON U.S.G.S.DUADRANG LE MAP, 7.5 OR If MINUTE SERIES.) <br /> LIST DISTANCES OR SEARING AND DISTANCE FROM SECTION CORNER OR QUARTKR CORNER, SECTION, TOWNSHIP, RANGE, WASE AND MERIDIAN: <br /> Location: Latitude 380 031 23", longitude 1210 16' 3111 <br /> Located approximately 2000 feet from northwest corner of Section 1 - <br /> T.2N of the Lodi south quadrangle (7.5 minute series USGS) <br /> V111. SOURCE OF WATER SUPPLY (CNGCK ALL A►►w OPNIATa1 ---- <br /> A. F1 MUNICIPAL OR UTILITY SERVICE: B. INDIVIDUAL(Wells) <br /> NAMa OP MATaR►UwVKYOR <br /> N/A C. SURFACE SUPPLY: <br /> ADGRG t■OI PVR VaY Ow ---- NAY[Or {TRGAM,LAK[,1.wING,[TC. 11 NAMaD) -- <br /> N/A <br /> TTPa OP RATaR wIGNTi WATaR RIGHTS PRRUIT Ow LICKNSK <br /> I <br /> Riparian FlAppropriation ) <br /> IX. ENVIRONMENTAL IMPACT REPORT(EIR) ' <br /> Has an E I R been prepared for this project? 1:1 Yes FxJ No <br /> If"Yes",please enclose a copy. <br /> If"No",will an EIR be prepared? F] Yes Dx No <br /> Will a negatird declaration be prepared? F1 Yes 1:1 No <br /> If"Yes",please answer the following: WHO WILL PwaPAwa rHK NKaAnvK oacLwwwTloNT— - -- •P.woa.owra o.co�P�aTio+- <br /> CERTIFICATION <br /> 1 hereby certify under penalty of perjury that the information proa'ded in this application and in any attach- <br /> ments is true and accurate to the best of my knowledge. <br /> efGNAT OF OW dER O FA L1SIGNA RE O►ERA O F LIT Y,t'^CO''t/_- _— <br /> -MINTED OK TT PKD NAMK Tri <br /> ValleGrowers PwINrKD ow TT PKD NAMa ---__----- <br /> Y alley Forklif Co. <br /> Paul Vantress — Paul Kennedy <br /> TITIa DATA T17La --- -- --- DATK -- - " <br /> Sr. V.P. Operations Services — 1/24/90 General Manager 1/24/90 <br /> LIST TITLES OF ANY ATTACHMENTS: <br /> U.S.G.S. Quadrangle Map (ATTACHMENT I) <br /> E.E.C. , Inc. Equipment (ATTACHMENT II) <br /> Layout Design (ATTACHMENT III) <br /> You will be notified of the correctness of filing fee and submittal of any additional information deemed necessary to complete your Report of Waste <br /> Discharge pursuant to Division 7, Section 13250 of the State Water Code,or to complete your permit application pursuant to Government Code <br /> Section 66796.30 and Health and Safety Code Section 25200. <br />