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STATE OF CALIFORNIA CALIFORNIA INTEGRATO <br /> STE MANAGEMENT BOA :D <br /> SOLID WASTE F=ACILITIES PERMIT APPLICATION <br /> CIWMB E-1.77(REV.8/92) <br /> ENFORCEMENT AGENCY: FOR ENFORCEMENT AGENCY USE ONLY <br /> FILE NUMBER(PERMIT NUMBER) DATE RECEIVED: <br /> PUBLIC HEALTH SERVICES OF SAN JOA UIN COUNTY DATE ACCEPTED: <br /> COUNTY: SAN JOA UIN 3 9—�4 ^COV P g DATE REJECTED: — <br /> Q FILING FEE: <br /> TYPE OF APPLICATION: RECEIPT NUMBER: <br /> IS(& CO SWMP/COUNTYWIDE <br /> ®1. NEW SOLID WASTE FACILITY PERMIT ®4. MODIFICATION OF PERMIT ®7.AMENDMENT OF APPLI E PAGE(S): <br /> 2. REVISION OF PERMIT ®5. EXEMPTION FROM PERMIT <br /> LJ 3. PERMIT REVIEW ®6. FACILITY CLOSURE PVl hi y <br /> nr <br /> NOTE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be su mitt he <br /> local enforcement agency. See instructions for completing this application. �Pql 11 <br /> L GENERAL NAME OF FACILITY: �EALTF{ <br /> DESCRIPTION LOCATION OF FACILITY: (Give address or location,also include legal description by section,township, nd <br /> OF meridian if surveyed or projected. 2435 EAST WEBER AVE. STOCKTON CA •95205 N373031, W1212226 <br /> FACILITY <br /> TYPE OF FACILITY: ®LANDFILL El PROCESSING FACILITY MATERIAL RECOVERY FACILITY <br /> ®SUMP MTRANSFER STATION ®LAND SPREADING <br /> ®TRANSFORMATION ®COMPOSTING <br /> FACILITY (MIXED WASTES) <br /> TYPE OF WASTES TO BE RECEIVED: <br /> ®AGRICULTURAL ®DEAD ANIMALS ®TIRES <br /> ®ASBESTOS ®INDUSTRIAL ®WOOD MILL <br /> ®ASH LIQUIDS (INCLUDES SEPTAGE) ®OTHER DESIGNATED WASTE <br /> ®AUTO SHREDDER ®MIXED MUNICIPAL ®OTHER HAZARDOUS WASTE <br /> ®CONSTRUCTION/DEMOLmON ®SLUDGE ®OTHER: (DESCRIBE) <br /> 11.FACILITY PROPOSED CHANGE EFFECTIVE DATE <br /> INFORMATION ®COMMENCED (CHECK APPLICABLE BOXES) OF PROPOSED CHANGE: <br /> Date: 12 20 61 ®DESIGN <br /> WILL COMMENCE ElNO CHANGE <br /> Date: <br /> ®OPERATION <br /> AVERAGE ANNUtL PEAK DAILY FACILITY SITE CAPACITY EXPECTED CLOSURE DATE: <br /> LOADING(TPY): 53 OODING(TPD): 512 SIZE(A): 4.33 IN YARDS: <br /> III. OPERATOR OWNER OF LAND ADDRESS: TELEPHONE NUMBER: <br /> INFORMATION (Name):ROBERT 2435 EAST WEBER AVE. STOCKTON CA 95205 209 948-0535 <br /> For land disposal, <br /> If operator Is FAC ATOR ADDRESS: <br /> different from (Name): ROBERT 2435 EAST WEBER AVE. STOCKTON CA 95205 209 948-0535 <br /> land owner,attach <br /> lease or franchise ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: TELEPHONE NUMBER: <br /> agreement. 2435 EAST WEBER AVE. STOCKTON CA 95205 2Q2 948-0535 <br /> 1 hereby acknowledge that I have read this application and the Report of Facility Information, and certify that the information given is <br /> true and accurate to the best of my knowledge and belief. In operating the solid waste facility, I agree to comply with the conditions <br /> of the permit and with federal, state, and local enactments. <br /> SIGNATOR ND WNER OR AGENT): SIGNATURE ACIL O 0 A EN <br /> TYPED NAME: TYPED NAME., <br /> ROBERT C. RONYAK II ROBERT C. RONYAK II <br /> TITLE: AGENT <br /> DATE:MAY 5, 1995 TITLE: FACILITY OPERATOR DATE: MAY 5, 1995 <br /> IV.LIST OF ATTACHMENTS (CHECK IF APPLICABLE): <br /> REPORT OF FACILITY INFORMATION ®SWAT(AIR AND WATER) <br /> ®PERIODIC SITE REVIEW ®STORMWATER DISCHARGE PERMITS(NPOES) <br /> El LOCAL USE/PLANNING PERMITS ®WETLANDS PERMIT <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®DEPARTMENT OF HEALTH SERVICES PERMIT ®FINAL CLOSURE/POSTCLOSURE MAINENANCE PLAN <br /> 10AIR QUALITY/POLLUTION CONTROL DISTRICT PERMITS ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®CERTIFIED ENVIRONMENTAL REVIEW REPORTS ICEQA) ®OTHER REGULATORY AGENCY PERMITS <br /> ®WASTE DISCHARGE REQUIREMENTS ®OTHER <br /> (PERMIT.XLSS/92) <br />