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APPLICATION FORM <br /> Page 8 of 9 <br /> 9. SAN JOAQUIN COUNTY MOSQUITO ABATEMENT DISTRICT <br /> Vector control/mosquito abatement agency name: <br /> .'OHN STROH (209) 339-9739 <br /> Contact person/phone number <br /> 10. Type of waste tires to be received: <br /> Whole passenger ❑ Split tires <br /> ... Whole truck ❑ Cut tires <br /> Whole tractor ❑ Shredded tires--- <br /> -Whole eartnmover/construction equipment <br /> ❑ Other <br /> Existing number of waste tires stored or maintained on site <br /> 4000 <br /> Maximum capacity <br /> 12 . Types of on-site processing equipment: <br /> ❑ Stationary shredder 3a Mobile shredder <br /> ❑ Bailer ❑ Splitter <br /> ❑ Cutter ❑ Other <br /> 13 . Proposed change to facility:__ <br /> date of change in: <br /> ❑ Design ❑ Operation <br /> ❑ Administrative ❑ No change <br /> 14 . Documents attached (check all that apply) . <br /> ❑ Operation Plan ❑ Environmental Form <br /> ❑ Emergency Response Plan ❑ Closure. Plan , <br /> ❑ Reduction/Elimination Plan ❑ Fire Department info <br /> ❑ Vector Control info ❑ Other (indicate) <br /> CIWMB 500 (10/92) <br />