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,TAI Z OF CAUFORNIA <br />SOLID -WASTE FACILITIES PERMIT APPLICATION <br />'VW a'T IRI. 1/891 <br />:NFOh--tkT AGENCY Environmental <br />Public Health Services/ Health Divi <br />.OUNTY <br />San Joaquin <br />• <br />CALIFORNIA WASTE MANAGEMENT HOARD <br />FOR ENFORCEMENT AGENCY USE ONLY <br />NUMBER (PERMIT NUMBER) <br />DATE RECEIVED HUNG FEE <br />"PE Of APPLICATION <br />1. NEW SOLID WASTE❑ 2. REVISION Of PERMIT ❑ �. PERMIT REVIEW DATE ACCEPTED RECEIPT NUMBER <br />-J FACILITY PERMIT <br />4. MODIFICATION OF PERMIT ❑ S. EXEMPTION FROM PERMIT [:]6. FACILITY CLOSURE DATE REJECTED CD SWMP REFERENCE PAGUSI <br />` 1 7. 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 comoletinq this aoolication. <br />1. <br />GENERAL <br />DESCRIPTION <br />OF <br />FACILITY <br />f <br />NAME OF FACILITY <br />BTI - <br />OR LOCATION. ALSO <br />BY SECTION. TOWNSHOr. RANGE. BASE AND MERIDIAN IF SURVEYED OR PROJECTED.) <br />2403 W. Louise Avenue Manteca CA 95337 <br />TYPE OF FACILITY <br />❑ LANDFILL ❑ TRANSFER STATION ❑ RESOURCE RECOVERY FACILITY <br />❑ SUMP COMPOSTING ❑ LAND SPREADING <br />M AGRICULTURAL <br />❑ ASBESTOS <br />❑ ASH <br />❑ AUTO SHREDDER <br />❑ CONSTRUCTION/OEMOLITION <br />❑ DEAD ANIMALS <br />INDUSTRIAL <br />❑ INFECTIOUS <br />❑ Uamos (INCLUDES SEPTAGE) <br />® MIXED MUNICIPAL <br />❑ SEWAGE SLUDGE <br />❑ TIRES <br />❑ <br />X W000 MILL <br />II OPERATION I EFFECTIVE DATE PROPOSED CHANGE (CHECK APPLICABLE BOX(ESII ' EFFECTIVE DATE <br />FACILITY E]COMMENCED ®WILL COMMENCE DESIGN X OPERATION NO CHANGE ' <br />INFORMATION 1 1/2/97 ❑ 1 1/2/97 <br />AVERAGE ANNUAL LOADING (TPY) 80, O O O PEAK DAILY LOADING (TPD) 440 FACILITY SIZE (A) 2 0 acre EXPECTED CLOSURE YEAR 2n1 <br />OWNER OF LAND (NAME) DD'TELEPHONE NUMBER <br />III Es. <br />Robertso <br />OPERATOR Harold Rouse, Trustee 'Beverl Hills,CA t2l3)655-9300 <br />INFORMATION FACILITY OPERATOR (NAME) I ADDRESS 90211 <br />Far land disposal. if <br />ooeratorlsdifferent Bio rec cling Technologies, Inc. '2403 W. Louise Ave.Manteca, CA 95337 <br />from land mlrller. attach ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br />TELEPHONE NUMBER <br />leaseor franchise 2403 W. Louise Ave. Manteca, CA 95337 (209) 239-4466 <br />agrereement <br />1 hereby acknowledge that I have read this application and the Report of Station or Oisposal 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 comply with the conditions of the permit and with federal, state and <br />local enactments. <br />SIGNATURE ILANO,OWNER OR AGENT) .�., SIGNATURE IFACIUTY OPE TOR OR AGENII <br />TITLE I DATE <br />�` <br />x �w. 14 <br />IYPkO NAME <br />Lam <br />Jim Hamamoto <br />CEO <br />IV LIST OF ATTACHMENTS (CHECK THOSE APPLICABLE) <br />X REPORT . F-AC:UTY INFORMATION IREOUIREDI ENVIRONMENTAL REVIEW REPORTS ❑ CLOSURE PLAN <br />PFRIOOIC SITE REVIEW ❑ WASTE DISCHARGE REQUIREMENTS ❑ OTHER REGULATORY AGENCY PERMITS <br />�[ LOCAL USEiPLGNNING PERMITS IREOUIRCO) ❑ SWAT ❑ OTHER <br />DATI <br />