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_07/19/2002 10:14 7753292009 DISPOSAL MAINTENANCE <br /> PAGE 02- <br /> CALIFORNIA INTEGRATED WASTE NAGEMBNT BOARD <br /> CONTROL BOARD <br /> 17ATE OF CALIFORNIA REGIONAL WATER QUALITY GO <br /> ►PP' <br /> L1CATlON FOR SOLm WASTE FACIL"y 9ERMITIWAS7E DISCHARGE REQtltREMENTs <br /> IWM9 E-1-77(tRev.@l96) FOR OFRICIAL USE ONLY <br /> NFORCEkdF.NT AGENCY: M <br /> Sant JuagU;n County DePartrtwnt of Hath <br /> N E <br /> San Juaquin A <br /> NCOMPLETE APPLICATtON' <br /> REVIEW <br /> 1 1. NEW SWFP ANDlOR WOKS 04. µENT OF APPLICATION <br /> 12. REVISION OF"FP AND/OR WOKS®5•A �T. CHANGE OF OWNERIOPERATOROR ADDRESS <br /> ]3. EXEMPTION AND/OR WAIVER <br /> Q6•RPrROW01M AMENDMENTS r0 ri*t0 <br /> VOTE:This form has been developed for multiple��It is the transmittal Sheet for documents required to be submitted to the aPP <br /> agen . gee tn5trttC4ions for complean9 tfi s PW <br /> and rtterldian if surveyed <br /> I.GENERALInclude legal desclip011 <br /> A. NAME OF FACILITY:Central Valley Waste Servic03n by SeCSn, hl range+base, <br /> lso <br /> o£bCRIPTiON �,projected.) 1333 E Tu B. LOCATION OF FACILITY:tG�address or Road,p.o.Box 241041 Lodi CA 95241 <br /> of <br /> FACILITY 38 08'Check <br /> ppl N 12 15' 11" ®S�pGE TREATMENT <br /> C.TYPE OF OPERATI N.(Cheek aPPtleable baatcs•) <br /> DISPOSAL aTRANSFORMAT10N drscharge to Sowed <br /> []TRANSFER OR ®INDUSTRY <br /> TyPE'-�'e`-- PROCESSING STATION ®INDUSTRY(onsite dispos39 <br /> aCoMPOSTING POTHER(describe):— ------' <br /> TYPE.—targe <br /> TYPE <br /> D.COSwmPICIWMP REFERENCES: PAGES: <br /> DATE OF DOCUMENT: <br /> E.TYPE OF WASTES TO Be RECEIVED:(Check appiicabla boxes-) ®SLUDGE <br /> DEAL)ANIMALS <br /> ®AMCULTURAL []FRIABLE.ASBESTOS ®TIRES <br /> [:)ASBESTOS WOOD MILL <br /> ClINDUSTRIAL <br /> ®ASH ❑OTHER:(dcscrib®L--- --- <br /> ®AU T O SHREDDER ❑LIQUIDS <br /> ®CONSTRUCTIONIDEMOLITION xElMIXEO MUNICIPAL <br /> SOON- <br /> II.FACILITY <br /> A PROPOSED CHANGE (Check applicable boxes) <br /> INFORMATION <br /> ®DESIGN(describe)Minor changes of equipmen <br /> ®OpERAT10N (describe) No <br /> OTHER(describe) Changes in tacaity personnsl <br /> B,FACILITY INFORMATION:No Chan949 FACILITY SIZE(acres): <br /> PEAK DAILY LOADING AVERAGE ANNUAL <br /> SITE CAPACITY(yas} 6000 6.6 <br /> LOADING (rPY):31,200 <br /> 300*Pd ARFA IN WHICH SOtL WILL BE DESIGN AlR SPACE CAPACITY: <br /> DISPOSAL TOTAL WASTE IN PLACE(yds): DISTURBED(acres):n/a nla <br /> AREA n/a n/a <br /> EXPECTED CLOSURE DATE: <br /> C. PRESENT OR PROPOSED:No Cho AVERAGE. DESIGN FLOW(m MGD): <br /> DAILY FLOW(in MCO): MA)ObtUM: <br /> SOURCE OF WATER SUPPLY(check all appropriate) <br /> 111 <br /> A. MUNICIPAL oR UTILITY SERVICE: gUE SUPPLY, <br /> NAME OF WATER SURVEYOR ------NAMS OF STREAM,LAKE,ETC ®APPROPRIATION <br /> City or LoOi TYPE OF WATER RIGHTS: ®RIPARIAN <br /> (OVER) <br /> VV ENV OXMENTAL IMPACT REPORT(EIR) lmo <br /> HAS AN EIR BEEN PREPARED FOR THIS PROJECT? ' "YES <br />