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APPLICATION FORM <br /> Page 6 of 9 <br /> "Total maintained on the business premises at any time" <br /> represents the maximum number of waste tires present at the <br /> facility at any one time. This number must be less than 5000 as <br /> illustrated in the example. <br /> 2 . Type of facility: <br /> Jk Existing ❑ Proposed <br /> ❑ Major waste tire facility (5000 or more tires) <br /> ❑ Minor waste tire facility (more than 500 tires, less than <br /> 5000) <br /> JPA Section 18420 (a) (4) , ( { , i) or (c) <br /> 3 . For facilities in existence on or before January 1, 1990, has <br /> there been any substantial change in design or operation <br /> subsequent to this date? <br /> No ❑ Yes, describe : <br /> General Information: (please print or type) <br /> 4 . Facility name and mailing address : <br /> CALIFORNIA WASTE REMOVAL SYSTEMS _ <br /> Name <br /> PO BOR 241001 LODI CALIFORNIA 95241-9501 <br /> Facility mailing address : <br /> TURNER R <br /> ree <br /> r•ar- FORNIA SAN JOAQUIN 95241 <br /> City° County Zip <br /> Telephone (209 ) 369 _ 8274 <br /> CIWMB 500 (10/92) <br />