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CALIFORNIA WASTE MANAGEMENT BOARD <br /> STATE OF CALIFORNIA <br /> OLID WASTE FACILITIES PERMIT APPLICATION <br /> CWMB E-1-77 fRev.1/89) <br /> FOR ENFORCEMENT AGENCY USE ONLY <br /> "r.NfORCEMENTAGENCY PUBLIC HEALTH SERVICES <br /> PATE <br /> PERMIT NUMBER) <br /> EnvironTnentaj Heal th.-Division <br /> COUNTY <br /> San Joaquin County RECEIVED FILING FEE <br /> TYPE OF APPLICATION <br /> ❑1.NEW SOLID WASTE D RECEIPT NUMBER <br /> FACILITY PERMIT 2. REVISION OF PERMIT ❑3.PERMIT REVIEW r❑4.MODIFICATION OF PERMIT ❑5. EXEMPTION FROM PERMIT ❑6.FACILITY CLOSURED CO SWMP REFERENCE PAGEIS) <br /> ❑7.AMENDMENT OF APPLICATION <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 /> Tracy Material Recovery & Transfer Facility <br /> LOCATION OF FACILITY(GIVE ADDRESS OR LOCATION.ALSO INCLUDE LEGAL DESCRIPTION BY SECTION.IOWNSHIP,RANGE BASE AND MERIDIAN If SURVEYED OR PROJECTED) <br /> 30703 S. MacArthur Dr. , Tracy, CA 95376 <br /> I. <br /> NF_ 1/4 S 16, T3S, R5E MDBM <br /> GENERAL TYPE OF FACILITY <br /> � <br /> DESCRIPTION LANDFILL <br /> TRANSFER STATION ® RESOURCE RECOVERY FACILITY <br /> OF ❑ SUMP ] COMPOSTING ❑ LAND SPREADING <br /> FACILITY TYPE OF WASTES TO BE RECEIVED <br /> AGRICULTURAL ❑x CONSTRUCTION/DEMOLITION ❑ LIQUIDS(INCLUDES SEPTAGE) <br /> ASBESTOS ❑ DEAD ANIMALS MIXED MUNICIPAL <br /> ❑ <br /> ❑ ASH Q INDUSTRIAL ❑ SEWAGE SLUDGE <br /> ❑ AUTO SHREDDER ❑ INFECTIOUS ❑x TIRES <br /> El WOOD MILL <br /> OPERATION t EFFECTNE DATE PROPOSED CHANGE)CHECK APPLICABLE BOX(ES)) L EFFECTIVE OAT[ <br /> li. E <br /> FACILITY ® <br /> COMMENCED ❑ WILL COMMENCE a 5-1-95 ❑ DESIGN OPERATION ❑ NO CHANGE i 1-1-97 <br /> INFORMATION <br /> AVERAGE ANNUAL LOADING(TPY) 356,000 PEAK DAILY LOADING(TPD) 1000 FACILITY SIZE(A) 51,7—EXPECTED CLOSURE YEAR <br /> OWNER Of LAND(NAME) E <br /> ADDRESS TELEPHONE NUMBER <br /> RL Michael Repetto L60 E. 11 St.Tracy,CA 95 76 (209)835-0601 <br /> OPERATOR L ADDRESS <br /> INFORMATION FACILITY OPERATOR(NAME) I <br /> For land disposal,if Michael Repetto <br /> operator is different TELEPHONE NUMBER <br /> from land owner,attach ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br /> lease or franchise 60 E. 11th St. Trac CA 95376 (209) 835-0601 <br /> agreement <br /> I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Information.and certify that the information given is true and <br /> accurate to the best of my knowledge 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)LAND OVVNER OR AGENT) SIGNATURE(FACILITY 0 ERATOR 0 AGENT) <br /> TYPED NAME <br /> TY ED NA E <br /> Michael Repetto Michael Repetto <br /> TITLE <br /> GATE TITLE DAlt <br /> owner operator — <br /> IV. LIST OF ATTACHMENTS(CHECK THOSE APPLICABLE) <br /> ® 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(REQUIRED) 0 SWAT ❑OTHER <br />