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� <br /> State of Waste <br /> CNM 169(Rev 4104) Manapment BurdENFORCEMENT AGENCY NOTIFICATION <br /> Enfimment AWW. SJ Eftiromental Health Official&Use0*,, <br /> SVVIS Number: <br /> Data RecaiVed. <br /> g1j_2 <br /> 12 <br /> Coun(r. I Son Joaquin <br /> 1. GENERAI.INFORMATION <br /> Operation Namm. I Impeded Western Products --- — - I Mate: CA <br /> Address: 120500 13.1-1olly Drive City: Firacy <br /> Phone: 1(559)707-Mi <br /> Address: I P.O.Boxillo a hale State: CA Zip: 92230 <br /> Phone:j(760)378-0815 Fax; <br /> Land Owner I Holly Commerce Center,LUC <br /> Address: 21 Lafayette Circle %�r: Lafayette Zlp. W49 <br /> K. OPERATION INFORMATION <br /> Type(s)of Waste/Materlel Handled: I Paftong–paper,cardbowd,and plastic <br /> Peak Loading. 17 E3 CiftYadsm CRITore I Annual Lowkv-. 11,200 E3Cu*Yp*sK STW <br /> Brief Description of the Operaba; I Trucidoads;of out-of-spedlicallon bakery producis am rocelved Into a warehouse <br /> and stored for one to three days prior b being loaded-for lighway shipping to final destination.We typically wAve one b) <br /> two truckloads per day.Each truckload tyiftally contains 3 to 3.6 tons of fresh maWdals(I.e.paper,plastic,and cardboard <br /> from packaging). <br /> Ill. DOCUMENTATION OF LOCAL NOTIFICATION(checkweandsubmilwith EANoffaffon) <br /> Proof of Comolance,with the CalifomlaErvultonmental Quality Act(CEQA). <br /> obtain local land use approval. <br /> Written notice to the food plaruilng department of the operators Intent to commence operations. <br /> IV. OWNERIOPERATOR CERTIFICATIONStricture of Land Owner. VYV.", ==DaW. <br /> fl <br /> S%nature of Operator Date: <br /> ' '------- ' -- ' ' ------- -----^------'' '----�-- ' | <br />