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TATE OF CALIFORNIA ° CALIFORNIA WASTE MANAGEMENT RUARU <br /> OL10'WASTE FACILITIES PERMIT APPLICATION (REVISED). <br /> mAe E 1 n Ifty lies) <br /> vFB�EMENt AGENCY FOR ENFORCEMENT AGENCY USE ONLY <br /> San Joaouin County Health Services <br /> Environmental Health Division <br /> FF <br /> MBER► <br /> 7uNTY <br /> San Joanui n FILING FEE <br /> E OF APPLICATION <br /> ')1. NEW SOLID WASTE ®2.REVISION OF PERMIT ❑3.PERMIT REVIEW RECEIPT NUMRFW <br /> FACILITY PERMIT4. MODIFICATION OF PERMIT ®5.EXEMPTION FROM PERMIT ®B.FACILITY CLOSURCU SWMP REFERENCE PAGUS► <br /> T AMENDMENT OF APPLICATION _. <br /> NOTE: This form has been developed for multiple uses. it is the transmittal sheet for documents required to be submitted to the enforcement agency. See <br /> instructions on back for completing this application. <br /> NAME OF FACILITY <br /> Austin Road Landfill <br /> LOCATION OF FACILITY IGNE ADDRESS OR LOCATION.ALSO NTCLUOE LEGAL DESCRIPTION BY SECTION.TOWNSHIP,RANGE.RASE AND MERIDIAN U SURVEYED ON PROJECTED I <br /> Austin Road, 2 miles south of Arch Road, Stockton, CA <br /> 1 Section 3, Township 1 south; range 7 east, Mount Diablo Base & Meridian <br /> GENERAL TYPE OF FACILITY <br /> DESCRIPTION ® LANDFILL ❑ TRANSFER STATION ❑ RESOURCE RECOVERY FACILITY <br /> OF ❑ SUMP ❑ COMPOSTING ❑ LAND SPREADING <br /> FACILITY TYPE OF WASTES TO BE RECEIVED <br /> ❑ AGRICULTURAL CONSTRUCTION/DEMOLITION ® LIQUIDS(INCLUDES SEPTAGE) <br /> ❑ ASBESTOS ® DEAD ANIMALS ® MIXED MUNICIPAL <br /> ® ASH ® INDUSTRIAL ® SEWAGE SLUDGE <br /> ® AUTO SHREDDER ® INFECTIOUS ®TIRES <br /> WOOD MILL <br /> R OPERATION t EFFECTIVE DATE PROPOSED CHANGE ICHECK APPLICABLE SOMES►) F EFFECTIVE OAT <br /> FACILITY t Approx. <br /> INFORMATION ® COMMENCED ® WILL COMMENCE 1959 ® DESIGN ® OPERATION ❑ NO CHANGE ; 4.03_91 <br /> See amended RDS( IIUV. 1200 parox*130 .. <br /> AVERAGE ANNUAL LOADING(TPY) PEAK DAILY LOADING(TPO) FACILITY SIZE(A) EXPECTED CLOSURE YEAR 1997 <br /> OWNER OF LAND REAMED F ADDRESS TELEPHONE NUMBER <br /> OPERATOR City of Stockton ' 425 N. El Dorado 209 944- <br /> INFORMATION FACRLTV RoERATI I OMMIA I AQO_RESS <br /> for Ind disposal.a GaMbi Enterorisps , Inc. : P. 0. Box 568 French.Camn, CA 95231 <br /> @wales is different tEIEPNONE NUMBER <br /> from land onwmr.att sh ADDRESS WHERE LEGAL NOTICE MAY Of SERWO <br /> lease orframm" Ci tv Hall , Room #312, 425 N. E1 Dorado St. , Stockton' CA 95202 209 944-8827 <br /> afeement <br /> I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Information,and certify that the information given is true and <br /> accurate to the best of my knowledge and belief.In operating the solid waste facility.I agree to compt with the conditions of the permit and with federal,state and <br /> local enactments. ' <br /> SIGNATURE RAND OWN"AGENT) SIGNATURE(FACILITY OPERATOR OR AGENT) <br /> o <br /> TYPFO NAME -Tj typro law <br /> Stenhen Chen Phillip Giambastiani <br /> OAT[ <br /> tttlE DATE mLe <br /> Denuty Public Works Director President, Gambf Enterprises <br /> Solid Waste Division g (6 <br /> IV LIST OF ATTACHMENTS(CHECK THOSE APPLICABLE) <br /> ❑ REPORT OF FACILITY INFORMATION(REDUIRED) ❑ ENVIRONMENTAL REVIEW REPORTS ❑CLOSURE PLAN <br /> ❑ PEROOM SITE REVIEW ❑WASTE DISCHARGE REQUIREMENTS ❑OTHER REGULATORY AGENCY PERMITS <br /> 0 LOCAL USE/PLANNING PERMITS MEOERREO) 0 SWAT 0 OTHER <br />