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STA -PLO -DF CA%�ORNIA <br />CALIFORNIA 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 />FOR OFFICIAL USE ONLY <br />SWIS N,UUMMBBEER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />{/� /�/y�, <br />I l ~ / � / Y t� t, ^ <br />J <br />-Z-71) <br />• / A JCC. /.� v 7�� <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: <br />County of San <br />F-11. NEW SWFP and/or WDRS <br />uin, Environmental Health <br />:k one box only): <br />2. REVISION OF SWFP and/or WDRS <br />❑3. EXEMPTION and/or WAIVER <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 />B. COUNTY: <br />San Joa uin <br />04. PERMIT REVIEW <br />115. AMENDMENT OF APPLICATION <br />XA16. RFI/ROWD/JTD AMENDMENTS <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 />I. DISPOSAL E-13. TRANSFORMATION X❑5. OTHER (describe): Cannery Waste <br />a. TYPE: <br />X❑2. COMPOSTING ©4. 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 />-11. FACILITY IS IDENTIFIED IN (Check one): <br />X❑SITING ELEMENT DATE OF DOCUMENT Mar -97 PAGE # <br />FINONDISPOSAL FACILITY EL DATE OF DOCUMENT PAGE # <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 />R I1. AGRICULTURAL FR -16. CONSTRUCTION/DEMOLITION F-111. LIQUIDS <br />F�2. ASBESTOS 0 Friable ❑ Non -friable F-17. CONTAMINATED SOILS El 12. MIXED/MUNICIPAL SOLID WASTE <br />03. ASH F-18. DEAD ANIMALS 1:113. SEWAGE SLUDGE <br />F�4. AUTO SHREDDER F�9. INDUSTRIAL a 14. TIRES <br />F-110. INERT l 15. OTHER (describe): Appliances, u -Waste, a -Waste <br />T. COMPOSTABLE MATERIAL (describe): Green Waste <br />Page 1 <br />