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STAT <br /> OF CALIFORNIAINTEGRATED <br /> CALIFA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE 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 /> OR OFFICIAL USE ONLY <br /> WIS NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: ) �r <br /> I <br /> TE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> Coun of San Joaquin,Environmental Health Department San Joaquin <br /> c.TYPE F APPLI ATI N( neck one box only): <br /> F1 1. NEW SWFP and/or WDRS n4.PERMIT REVIEW <br /> 2. REVISION OF SWFP and/or WDRS ❑5.AMENDMENT OF APPLICATION <br /> �3. EXEMPTION and/or WAIVER X❑6.RFI/ROWD/JTD AMENDMENTS XL <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 /> F-11.DISPOSAL F-13.TRANSFORMATION E15.OTHER(describe): Cannery Waste <br /> a. TYPE: <br /> X❑2.COMPOSTING a4.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: Green Waste X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> X❑1.FACILITY IS IDENTIFIED IN(Check one): <br /> X�SITING ELEMENT DATE OF DOCUMENT Mar-97 PAGE# <br /> F�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 /> X�1.AGRICULTURALX�6.CONSTRUCTION/DEMOLITION F-111.LIQUIDS <br /> E-12.ASBESTOS ❑Friable ❑Non-friable O7.CONTAMINATED SOILS :]12.MIXED/MUNICIPAL SOLID WASTE <br /> F-13.ASH E-18.DEAD ANIMALS F-113.SEWAGE SLUDGE <br /> ❑4.AUTO SHREDDERX�9.INDUSTRIAL X❑14.TIRES <br /> F-I10.INERT F115.OTHER(describe): Appliances, u-waste,a-waste <br /> X15.COMPOSTABLE MATERIAL(describe): Green Waste <br />