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STATE OF CALIFORNIA 0 • CALIFORNIA WASTE MANAGEMENT BOARD <br /> SOLID WASTE FACILITIES PERMIT APPLICATION <br /> CWMB E-1.77(Rev.1/891 <br /> ENFORCEMENT AGENCY FOR ENFORCEMENT AGENCY USE ONLY <br /> Environmental Health Div. , Public Health Services FILE NUMBER(PERMIT NUMBER) n � _ 07COUNTY `� <br /> San Joaquin DATE RECEIV FILING FEE <br /> TYPE OF APPLICATION / 17 7 <br /> ❑1.NEW SOLID WASTE 0 2. REVISION OF PERMIT ❑3. PERMIT REVIEW DATE A CEPTED RECEIPT NUMBER <br /> FACILITY PERMIT <br /> ❑4.MODIFICATION OF PERMIT ❑5. EXEMPTION FROM PERMIT ❑6. FACILITY CLOSURE GATE REJE ED CO SWMP REFERENCE PAGEIS) <br /> ❑1. AMENDMENT OF APPLICATION 11 <br /> NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the enforcement agency. See <br /> instructions on back for completing this application. <br /> NAME OF FACILITY <br /> California Waste Recovery Systems — MRF & Transfer Station <br /> LOCATION OF FACILITY(GIVE ADDRESS OR LOCATION.ALSO INCLUDE LEGAL DESCRIPTION BY SECTION,TOWNSHIP,RANGE,BASE AND MERIDIAN IF SURVEYED OR PROJECTED.) - <br /> 1333 E. Turner Road, P. O. Box 241001, Lodi, CA 95241-9501 <br /> I. <br /> Section 31 of Township 4N & Range 7E. Latitude: N38°08141" Lonitude: W12*15'11" <br /> GENERAL TYPE OF FACILITY <br /> DESCRIPTION ❑ LANDFILL ® TRANSFER STATION ❑k RESOURCE RECOVERY FACILITY <br /> OF ❑ SUMP ❑ COMPOSTING ❑ LAND SPREADING <br /> FACILITY TYPE OF WASTES TO BE RECEIVED <br /> ❑X AGRICULTURAL RI.CONSTRUCTION/DEMOLITION ❑ LIQUIDS(INCLUDES SEPTAGE) <br /> ❑ ASBESTOS F1 DEAD ANIMALS X❑ MIXED MUNICIPAL <br /> ❑ ASH XO INDUSTRIAL ❑ SEWAGE SLUDGE <br /> ❑ AUTO SHREDDER ❑ INFECTIOUS ® TIRES <br /> ® WOOD MILL <br /> II OPERATION EFFECTIVE DATE PROPOSED CHANGE(CHECK APPLICABLE BOX(ES)) 1 EFFECTIVE DATE <br /> FACILITY 1 1 <br /> COMMENCED ❑ WILL COMMENCE ❑ DESIGN ® OPERATION ❑ NO CHANGE April 1997 <br /> INFORMATION <br /> AVERAGE ANNUAL LOADING(TPY) 249X600 PEAK DAILY LOADING(TPD) 1700 FACILITY SIZE(A) 16-48 EXPECTED CLOSURE YEAR <br /> OWNER OF LAND(NAME) 1 ADDRESS 1333 E. Turner Rd, TELEPHONE NUMBER <br /> OPERATOR California Waste Recovery Systems ' Lodi CA 95241-9501 209 369-8274 <br /> INFORMATION FACIUTY OPERATOR(NAME) 1 ADDRESS <br /> 1 <br /> For land disposal,if "Same" ' "Same" <br /> operator is different <br /> from land owner,attach ADDRESS WHERE LEGAL NOTICE MAY BE SERVED TELEP=Same <br /> MBER <br /> lease or franchise 11C n n <br /> agreement <br /> I hereby acknowledge that I have read this application and the,,@eport of Station or Disposal Site Information,and certify that the information given is true and <br /> accurate to the best of my knowI d and belief.In operating the solid waste facility,I agree to comply with the conditions of the permit and with federal,state and <br /> local enactments. <br /> SIGNATURE(LA OWNER OR ENT) SIGNATURE IF ITY OPERA OR OR ENT) <br /> TYPED N ME TYPED AME <br /> California Waste Recovery Systems David Vaccarezza <br /> TITLE DATE HILL _-- [)ATE <br /> President 4/10/97 President 4/10/97 <br /> IV. LIST OF ATTACHMENTS(CHECK THOSE APPLICABLE) <br /> 'I REPORT OF FACILITY INFORMATION(REQUIRED) ❑ ENVIRONMENTAL REVIEW REPORTS ❑CLOSURE PLAN <br /> ❑ PERIODIC SITE REVIEW ❑ WASTE DISCHARGE REQUIREMENTS ❑OTHER REGULATORY AGENCY PERMITS <br /> [ LOCAL USE/PLANNING PERMITS(REOUIREO) ❑ SWAT ❑OTHER -- <br />