Laserfiche WebLink
r '.iTATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT BOARD 4 <br /> 1 DEPARTMENT 0/ FORESTRY <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This toren is to be used for filing a/an: (check all appropriate) FOR or-FfcE use(Nvl,y <br /> Form 200 Recd <br /> 1. 0 REPORT OF WASTE DISCHARGE Far moo nal — Iswalel <br /> (pursuant to Division 7 of the State Water Codel <br /> 2. F�l APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter to Discharger <br /> (pursuant to Health and SeIVY Coda Section 257001 Report Recd _ <br /> 3. [ _] APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Effective Date <br /> (pursuant to Government Code Section 66796.301 CDF Notified <br /> 4. 0 APPLICATION FOR A RUBBISH DUMP PERMIT DOIISNo. <br /> (pursuant to Public Resources Code Sections 4371-4375 and 44381 <br /> SWM8 No. <br /> _- _---._ 1. FACILITY <br /> •.as•..o... . <br /> A. NAM{ 0I FACILITY <br /> TERRA GENESIS MANTECA SITE ( 209 521_6260 <br /> —----------- -- ----------- — - <br /> ATTN: RICHARD BREW P.O.—BOX 3212 MODESTO. CA 95353 — <br /> •. NAY{ 0/ �iowi.o.rr{w of rwciLiri <br /> TERRA CENESI5, 1K, _..- 209 521-6260- -- <br /> Aoo,aaa f <br /> AT_TKVe1MR1C11ARaSM. _BREW__P.0.LITY _BOX.-3212—MODESTO,-CA-95353-------Ma Or � - <br /> (209 1 521-6260 — _ <br /> — <br /> ATTN: RICHA_RD_ BREW P.O._BOX 3212 MODESTO, CA 95353 --- <br /> O TTI{ Or �Ve1N{.. 01{w ATINO rACILITT <br /> (� <br /> Sole Proprietorship — Corporation LJ Government Agency - -- -- <br /> L-1 � Partnership ���Illlll <br /> [. NAM[ Or OW"KIRTfi Or aVa1N[a■43"[WATlre F•A�ILITY e <br /> TERRA GENESIS, INC. _____— '•_209 �_ 521-6260 <br /> RICHARD BREW P.O. BOX_ 3Z _�tODESIO��A_ <br /> — — - 12-- <br /> if. AcwsoN FOR FILING <br /> A. New discharge or IaUliry D. Charge in character of discharge G - <br /> Change in holiness nrserrting leeilily <br /> B. Existing dhchrrge or facility E. Change In place or method of disposal H. Eniergement of existing facility <br /> C. Increase in quantity of discharge <br /> F. Change in design or operation 1. X Other (explain(»fowl <br /> I2dustria -prD_cessor.-of soil. contaminated by o_i1=d,°signated_wa te- —_ <br /> --' --� -- - -- -- - --_111 Type or OFCRATION <br /> c ac n�a Transfer station - G Woodwnsta rite <br /> U. $Swage trretn.wnl y <br /> E. Indust, (On lila dupe al Iwc ititY) H ^ 011'n' 1-plein hwlowl <br /> 8. Solid waste dirtxtsal rile - <br /> C. Herardous waste disposal site F. Industry IdilCharge to 10-911 <br /> Soil will be hauled to the site cI ane4—bY_bactorQlo-gicaLpro cess_and-us-ed_at-an_ <br /> A Sewage,sewage sludge,and/or E. Agricultural wastes I. _ Inert materiels <br /> septic lank pumpings <br /> 8. Industrial wastes F. Animal wastes J. Dead animals <br /> C. Municipal solid wastes G. Forest product wastes K. _ Tiros <br /> D. Hazardous wastes H. Construction/demolition wastes L. Other (explain belowl <br /> Them-.di 1Lbe-nQ-dischme-of-designa-ted-waste—_t ti tP nr--Qther Incati-on___---- -- <br /> _---- -- �-- —_- <br /> V. a1T[ O[[IGN CAPACITY <br /> ,. •.a,a,..o•oa•r.ow ow c••,clr. ..o.a..w Ie•uu nor esu uaTrr•re c•I.cIT. c.ar•r u•.c.•rc. ....a <br /> 600 to 800 tons 2000 tons <br /> rowae seg (w[v.0/401 (OVLA) <br />