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Application for the Beneficial Reuse <br /> of Fly Ash or Bottom Ash <br /> 9) Do you have an El Yes <br /> Environmental Policy? ® No <br /> 9A)Complete the following Hazardous Waste N/A <br /> EPA ID# <br /> Number of 22 <br /> employees at this <br /> location <br /> Number of 28 <br /> employees in the <br /> Company <br /> 10) Is the facility used to LJ Yes <br /> store, process or treat ® No <br /> regulated materials, <br /> recyclables or waste, perform <br /> lab work, ship manifested <br /> materials, machine tools and <br /> equipment,fuel vehicles? <br /> 10A) Is the facility permitted El Yes <br /> (COPA Tiered Permit)to treat ® No <br /> waste on site? <br /> 10B) Complete the following Land Owner Lost Hills Environmental LLC. <br /> Facility Owner Holloway Environmental Solutions LLC. <br /> Previous Facility H.M. Holloway Inca <br /> Owner list all <br /> Previous Land Use Mining (Gypsum) <br /> Date original owner 1993 <br /> started facility <br /> Date current owner 2017 <br /> purchased facility <br /> 11)Which form of Municipality <br /> management does the firm ❑ Proprietorship <br /> operate under: (check one) ® Corporation <br /> ❑ Limited Partnership <br /> ❑ Other(Please Describe): <br /> 12)What financial assurances Trust through Zions Bank. <br /> for facility closure and post <br /> closure care are used? Both FACE doc and closure/post-closure doc's are available <br /> upon request. <br /> 13)Facility proximity in miles Residences 5 Miles <br /> to: <br /> Waterways 3 Miles <br /> Public Facilities 5 Miles <br /> Schools 5 Miles <br /> Wetlands 10 Miles <br /> Flood Plains 1.5 Miles <br />