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'STATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> OEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT BOARD <br /> w t <br /> ( DEPARTMENT OF FORESTRY y <br /> ti <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This form is to be used for filing a/an: (check all appropriate) FOR Ottece USs UNI.y <br /> I. ® REPORT OF WASTE DISCHARGE Form 200 Recd _ <br /> (pursuant to Division 7 of the State Water Code) Fee(RWGC01 ISWMB). _ <br /> 2. ® APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter to Discharger_ <br /> IpUfsuant to Health and Salety Coda Section 252001 Report Recd _ <br /> 3. APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Effective Date <br /> (pursuant to Government Code Section 66796.301 <br /> 4. APPLICATION FOR A RUBBISH DUMP PERMIT COF Notified <br /> (pursuant to Public Resources Coda Sections 4371-4375 and 44381 DOHS No._ <br /> L SWM8 No. <br /> 1. FACILITY <br /> A. NAME OF FACI.ITY - Te LesaoM■ • <br /> _ Corral Hollow Sanitary La_n_dfill ( 209 ) 835-3167 <br /> APPR469 ��� <br /> e1P Goes <br /> 31130 S. Corral Hollow Road, Tracy 95376 <br /> i. NAME OF LEGAL OWNER OF FACILITY Ta6teNOMe o <br /> City of Tracy, Department of Public Works ( 209 ) 836-4420 <br /> wocwase <br /> ser coo■ - <br /> City Hall Annex, 520 Tracy Blvd. , Tracy95376 <br /> C.NAME of aus#NRse OPERATING FAseLITY 4i Ya6a►Naaa• <br /> __City of Tracy, Department of Public Works ( 209 ) 836-4420 <br /> sit-soon <br /> AOORa{e —_ <br /> City Hall Annex, 520 Tracy Blvd., Tracy 95376 <br /> D. TYPE OF Business OPERATING FACILITY <br /> ® Sole Proprietorship ® Partnership ® Corporation ® Government Agency <br /> E. NAME of OWNER s Of ausINEas OPERATING FACIUTY Yawraoee o <br /> City of Tracy, Department of Public Works ( 209 ) 836-4420 <br /> AOONaee WMaRO LEGAL MOTICa MAV Ea{aRVEO ale COOT <br /> City Hall Annex, 520 Tracy Blvd_ . , Tracy 95376 <br /> 11. REASON FOR FILING <br /> CRaCR ALL ArrNoPN/ATa. <br /> A. Now discharge or facility 0. Change in character of discharge G. Change in business operating facility <br /> 8. Existing discharge or facility E. Change In place or method of disposal H. Enlargement of existing facility <br /> C. Increase in quantity of discharge F. Change in design or operation 1. X Other lexplain below) <br /> Filing Application for Permit Review (RDSI and 5 year Engineering Review will follow) <br /> r Its. TYPE Of OPERATION <br /> CIaYCR ALL Ar►NOrR1ATat <br /> A. Transfer station D. Sewage treatment G. Woodwaste site <br /> 8. g Solid waste disposal site .E. Industry(on-site disposal facility) H. Other laxpWn below) <br /> C. Hazardous waste disposal site F. Industry Idischarge to sewer) <br /> �— IV. TYPE Of WASTE <br /> "ac"ALL APeeoPR/ATN) <br /> A. Sewage,sewage sludge,and/or E. X Agricultural wastes 1. <br /> septic yank pulnpings ){ Inert materials <br /> S. X Industrial wastes F. Animal wastes J. Dead animals <br /> C. X Municipal solid wastes G. X Forest product wastes K. g Tires <br /> D. Hazardous wastes H. }{ Construction/demolition wastes L, Other(explain below) <br /> V. SITE DESIGN CAPACITY — -- -- <br /> w,rRa{lMT roo."TIOM ON CArAC11V E.Oif10M rO eu"17 on ULTIMATE CAPACITY C.61Pa ExPa CTANCT VeAae <br /> 2,000,000 CY in place 2,800,000 Cy in place 4.3 <br /> Fon"zoo (Rev.$lea) (OVER) __ <br />