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STATE OF CALIFORNIA <br /> CAL(FaORNIA INTEGRATED WASTE MANAGEMENT BO <br /> REGIONAL WATtR QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITMASTE DISCHARGE REQUIREMENTS <br /> CIWMB E-1-77(Rev.8-04) <br /> NOTE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate agency. <br /> Please refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner. <br /> FOR OFFICIAL USE ONLY <br /> SWIS NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> 7/ APPLICATION <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> --County of San Joaquin,Environmental Health Department San Joaquin <br /> C.TYPE OF APP (CATION( neck one Dox only): <br /> ®1. NEW SWFP and/or WDRS ®4.PERMIT REVIEW <br /> X❑2. REVISION OF SWFP and/or WDRS 05.AMENDMENT OF APPLICATION <br /> 1:13. EXEMPTION and/or WAIVER 1:16.RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Tracy Material Recovery&Transfer Facility <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 30703 S.Macarthur Drive,Tracy,CA 95377 <br /> 2. LATITUDE AND LONGITUDE: <br /> Lat 37.67803 North,Long 421.41618 West <br /> 3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> n/a <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> ®1.DISPOSAL 1:13.TRANSFORMATION X�5.OTHER(describe): Cannery Waste <br /> a. TYPE: <br /> ®2.COMPOSTING ®4.TRANSFER/PROCESSING FACILITY <br /> Green Waste/ X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> a. TYPE: Food Waste <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> El 1.FACILITY IS IDENTIFIED IN(Check one): <br /> X❑SITING ELEMENT DATE OF DOCUMENT Mar-97 PAGE# <br /> ®NONDISPOSAL FACILITY El. DATE OF DOCUMENT PAGE# <br /> 02.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> ®1.AGRICULTURAL E16.CONSTRUCTION/DEMOLITION ❑11.LIQUIDS <br /> M2.ASBESTOS 0 Friable O Non-liable [::]7.CONTAMINATED SOILS ®12.MIXEDIMUNICIPAL SOLID WASTE <br /> 113.ASH 1:18.DEAD ANIMALS ®13.SEWAGE SLUDGE <br /> M4.AUTO SHREDDER E19.INDUSTRIAL ®14.TIRES <br /> X❑10.INERT Ell 5.OTHER(describe): Appliances,u-Waste,a-Waste <br /> )C❑5.COMPOSTABLE MATERIAL(describe): Green Waste,Food Waste <br /> Page 1 <br />