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STATE OF CALIFORNIA 01CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br />is REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE 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 fnrm in n rnnnnlptp nnrl noel -- <br />FOR OFFICIAL USE ONLY <br />SWIS NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />3q -- A A _- <br />r q <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />INCOMPLETE <br />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 APPLICATION ( Check one box only): <br />1. NEW SWFP and/or WDRS 1:14. PERMIT REVIEW] <br />2. REVISION OF SWFP and/or WDRS 115. AMENDMENT OF APPLICATION v <br />5. EXEMPTION and/or WAIVER E6. RFI/ROWD/JTD AMENDMENTS <br />n <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />Tracy Material Recovery & Transfer Station <br />B. LOCATION OF FACILITY: <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />30703 S. Macarthur Drive, Tracy, CA 95376 <br />2. LATITUDE AND LONGITUDE: <br />Lat 37.67803 North, Long -121.41618 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 O3. TRANSFORMATION <br />a. TYPE: <br />X�2. COMPOSTING <br />a. TYPE: <br />Green Waste <br />X❑5. OTHER (describe): Cannery Waste <br />X714. TRANSFER/PROCESSING FACILITY <br />X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />-11. FACILITY IS IDENTIFIED IN (Check one): <br />X❑SITING ELEMENT <br />FINONDISPOSAL FACILITY EL <br />DATE OF DOCUMENT Mar -97 <br />DATE OF DOCUMENT <br />F-12. 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 />x11. AGRICULTURALX�6. CONSTRUCTION/DEMOLITION D11. LIQUIDS <br />F-12. ASBESTOS ❑ Friable ❑ Non -friable �7. CONTAMINATED SOILS <br />E-13. ASH �8. DEAD ANIMALS <br />�4. AUTO SHREDDER X�9. INDUSTRIAL <br />10. INERT <br />-15. COMPOSTABLE MATERIAL (describe): Green Waste <br />X❑ 12. MIXED/MUNICIPAL SOLID WASTE <br />13. SEWAGE SLUDGE <br />X❑ 14. TIRES <br />E115. OTHER (describe): Appliances, u -waste, a -waste <br />PAGE # <br />PAGE # <br />Page 1 <br />