COMPLIANCE INFO_1974- 1984 - Laserfiche WebLink

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STAT1. 'JI L/.LII SOLID HASTE VANAC.('"ENT BOARD SOLID WASTE FACILITY PERMIT APPLICATION 511-1H E:-I-f7 (NEW 6 71) (—,NCI ENT AGENCY FOR ENFORCEMENT AGENCY USE ONLY San Joaquin Local Health District !i FILE NUMBER (PERMIT NUMBER) COVNfY I San Joaquin i DATE RECEIVED i FILING FEE TYPE OF APPLICATION Z. APPLICATION DATE ACCEPTHD RECEIPT NUMBER E) RAICE OF TION * PE 50L'D PT FOR4. TY* WASTE �I OFAPP; RIM TTf N FOR MODIFICATION I - IL-JI f. AMENDMENT DATE PERMIT ISSUED CO SWM► REFERENCE PAGE E OF n APPLICATION LJ S. APPLICATION FOR REVIEW NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the enforcement agency. *A Report of Station or Disposal Site Information or an amendment thereto must be submitted with this form. TNAME OF FACILITY Johns-Manville Sales Corp. (Manufacturing_Location) _ S LOCATION OF FACILITY GIVE ADDRESS OR LOCATION DESCRIPTION BY SECTION, TOWNSHIP, RANGE, COUNTY) Corner of Sperry Rd. & Airport Way, Stockton, CA. TYPE OF FACILITY I. Manufacturing Plant With On Site Disposal Areas. �•�1�ycT[xi=xtexxec=x exxxk SOLID WASTE DISPOSAL SITE � ][��][g[ �][Sx'�x1R��fxIXIX� GENERAL --.___._--__.._._ TYPE OF WASTES TO BE RECEIVED DESCRIPTION RESIDENTIAL REFUSE CONSTRUCTION/DEMOLITION WASTES HA ZARUO U6 WASTES OF FACILITY I D COMMERCIAL SOLID WASTES SEWAGE SLUDGE ❑ AGRICULTURAL WASTES 1 ❑ TIRES LIQUIDS/SLURRIES SEPTIC TANK PUMPINGS 1 OTHER (SPECIFY) Redect Material & Waste From Pipe_Mfg._- Op-eration _, _ ____ - - - ONE-OR' 11 OPERATION I EFFECTIVE PROPOSED CHANGE (CHECK BOTH) I EPEE GTIVE I-ACILITY �� I DATE I DATE INFORMATION 1 [14 COMMENCED ❑ WILL COMMENCE 1 Aug. , 1957 ❑ �� � • DESIGN GPE RA710N 1 OWNER OF PROPERTY rNAML) _ 1 AD DR ESS Johns-Manville Sales Corp. -- -- --- .. - j O P ERATORTNAME) ( ADDRESS OPERATOR i Johns-Manville Sales Corp. INFORMATION I ADDRESS WHERE LEGAL NOTICE MAY BE SERVED P. 0. Box 1587, Stockton, CA. FILING FEE ENCLOSED IV. I hereby acknowledge that 1 have read this application and the Report of Station or Disposal Site Informa- tion, and certify that the information given is true and accurate to the best of my knowledge and belief. In operating the sol' waste facility, I agree to comply with the conditions of the permit and with state and local enactme s. VNAE (OW R R AGENT) SIGNATURE (OPERATOR OR AGENT) Ilk ._ ___ —_ME TYPED NAME ayne Bird DATE TITLE DATE � - Plant Manager_ 18/12/77 Hl _ CECK APPROPRIATE BOX ENFORCEMENT D APPLICATION APPROVED APPLICATION DENIED AGENCY - __.___ _ ._ __. ___ -_ _ j SIGNATURE TITLE AND PRINTED NAME DATE AND TELEPHONE NO. --USE ONLY DATE RECEIVED fC—HECK APPROPRIATE BOX SOLID I 1 CONCUR WITH OBJECT TO 1 LJI PROPOSED PERMIT PROPOSED PERMIT i_ J AGENCY DENIAL UPHELD WASTE MANAGEMENT : BOARD j OTHER ISPECIFY)-_ S1;-NATURE TITLE AND PRINTED NAME DATE AND TELEPHONE NO. USE ONLY