Laserfiche WebLink
STATE OF CALIFORNIA <br />CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br />REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS <br />CIWMB E-1-77 (Rev. 8-04) <br />NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate agency. <br />Please refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner. <br />FOR OFFICIAL USE ONLY <br />SWIS NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />3y-hw _ "--4y <br />1 r`,16-113 <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />INCOMPLETE <br />APPLICATION: <br />DATE DUE: <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: B. COUNTY: <br />County of San Joaquin, Environmental Health Department San Joaquin <br />C. TYPE OF APPLICATION ((;heck one box only): <br />F1 1. NEW SWFP and/or WDRS F14. PERMIT REVIEW <br />F12. REVISION OF SWFP and/or WDRS 05. AMENDMENT OF APPLICATION <br />113. EXEMPTION and/or WAIVER 116. RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />Tracy Material Recovery & Transfer Facility <br />B. LOCATION OF FACILITY: <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />30703 S. Macarthur Drive, Tracy, CA 95376 <br />2. LATITUDE AND LONGITUDE: <br />Lat 37.67803 North, Long -121.41618 West <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: <br />n/a <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />FT DISPOSAL 1:13. TRANSFORMATIONX❑5. OTHER (describe): Cannery Waste <br />a. TYPE: <br />E]2. COMPOSTING <br />IR -14. TRANSFER/PROCESSING FACILITY <br />Green Waste/ X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />a. TYPE: - Food Waste <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />®1. FACILITY IS IDENTIFIED IN (Check one): <br />X❑SITING ELEMENT <br />EINONDISPOSAL FACILITY EL <br />DATE OF DOCUMENT Mar -97 <br />DATE OF DOCUMENT <br />®2. FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br />E. TYPE OF PERMITTED WASTES TO BE RECEIVED: (Check applicable boxes): <br />[XI. AGRICULTURAL -16. CONSTRUCTION/DEMOLITION M11. LIQUIDS <br />M2. ASBESTOS ❑ Friable O Non -friable [::]7. CONTAMINATED SOILS X12. MIXED/MUNICIPALSOLID WASTE <br />❑3. ASH F18. DEAD ANIMALS n13. SEWAGE SLUDGE <br />1:14. AUTO SHREDDER fX9. INDUSTRIAL X❑14. TIRES <br />-110. INERT X❑15.OTHER (describe): Appliances, u -waste, a -waste <br />X❑5. COMPOSTABLE MATERIAL (describe): Green Waste, Food Waste <br />PAGE# <br />PAGE # <br />Page 1 <br />