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0 i State of California-CIWMB Form 83(rev.12/96) California Integrated Waste Management Board Registration Permit Application Facility Name:Imperial Western Products Address/Location:20500 S.Holly Drive,Tracy,CA 95304 Phone Number.(559)707-3551 Facility Operator.Imperial Western Products Land Owner:Holly Commerce Center,LLC Mailing Address: Mailing Address: P.O.Box 110 21 Lafayette Circle Coachella,CA 92236 Lafayette,CA 94549 Address Where Process May be Served: Address Where Process May be Served: 86-600 Avenue 54 Same as Above Coachella,CA 92236 Phone Number.(760)378-0815 Phone Number:(925)283-8777 Facility Information: Section Authorizing Eligibility: 14 CCR Section 17403.6 Volume and Type of Waste/Materials(s)Handled: Site Capacity: Cubic Yards or jots Peak Loading: 75 Cubic Yards or Tons Annual Loading: 10.000 Cubic Yards or.T= Days and Hours of Operation: Facility Size: 0.61 Acre Area Operating Area: 0.15 Acre Area Traffic: Incoming Waste Material: 1-2 Vehicles Per Day Outgoing Waste Material: 1-2 Vehicles Per Day One of the Following Statements Must be Checked: [ ] The facility is identified and described in or conforms with the County Solid Waste Management Plan,or otherwise complies with Public Resources Code 50000;and the facility is consistent with the city or county General Plan. [X] The facility is identified in either the countywide siting element,the nondisposal facility element,or in the source reduction and recycling element for the jurisdictions in which it is located;or that the facility is not required to be identified in any of these elements pursuant to section 50001 of the Public Resources Code. I hereby acknowledge that I have read this application,and certify under penalty of perjury that the information provided is true and accurate. In operating the facility,I agree to comply with the conditions of the permit,a with,%deral,state,and local enactments. ('' Signature of Land Owner: Date: -- 'J Signature of Operator: Date: This application must be accompanied 4 a ❑ General Description ❑ Site Plan, and ❑ Location Map. Enforcement Agency Name and Address: FOR ENFORCEMENT AGENCY USE ONLY Date received: Date approved: Date rejected: Filing Fee: SWIS#: