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STJkTF Or CALIFORNIA <br /> SOLID WASTE MANAGEMENT BOARD <br /> SOLID WASTE FACILITY PERMIT APPLICATION <br /> SSI'l I./B C-1-17 (NEW b-77) <br /> F.NrORCEMENT AGENCY FOR ENFORCEMENT AGENCY USE ONLY <br /> San Joaquin Local -Health District FILE NUMBER PERMIT NUMBER) <br /> --' - -- CO <br /> COUNfY <br /> San Joaquin DATE RECEIVED FILING FEE <br /> TYPE OF A►PLICATION <br /> _ -i,APPLICATION DATE ACCEPTED RECEIPT NUMBaR <br /> 1. <br /> OPERAITION : L� FNOTA IWLITY+ MCE or OR SOLIDSA{TE �) OF PERMIAPPLICT FOR MODIFICATION -.---_- - <br /> •.AMENOMENT - U DATE PERMIT 1{WED CO SWMP REFERENCE PA#E P <br /> OP <br /> A►PLICATION. S. APPLICATION FOR REVIEW <br /> NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required <br /> to be submitted to the enforcement agency. 'A Report of Station or Disposal Site Information <br /> or an amendment thereto must be submitted with this form. <br /> NAME OP FACILITY <br /> Foothill _Sanitary-_Landfill <br /> LOCATION OF PA CILITY iGIYE ADORE{{OR LOCATION DESCRIPTION■Y SECTION,TOWNSHIP,RANGE,GOVNT YT - <br /> Waverly Road, 640 acres in Sections 12 & 13 T2NR9E M.D.s-.& M. <br /> TYPE OF FACILITY <br /> 1. <br /> {OLID WASTE DISPOSAL SITE TRANSFEw/PROCESSING STATION (INCLUDES RESOURCE RECOVERY) <br /> GENERAL � -'--'---------_. _-�_-----..---__.---__.__..___..-------..___ <br /> TYPE OF WASTEI TO#E RECEIVED <br /> DESCRIPTION RESIDENTIAL REFUSE CONSTRUCTION/DEMOLITION WASTE{ E� ATARDOUS WASTE{ <br /> OF <br /> FACILITY I L3 COMMERCIAL SOLID WASTES ❑ SEWAGE SLUDGE ® AGRICULTURAL WASTES <br /> i <br /> TIRES LIQUIDS/SLURR ISS SEPTIC TANK PUMP#"** <br /> OTNtR ({Pt CIFY) __: -_: <br /> - 11. �O•ERATION I DAT sE.,CTIVt I PROPOSED CNAN4t tCHtCK ONE OSt#OlMr- + owf[C!W 6. <br /> FACILITY <br /> INFORMATION `_j COMMENCED __L WILL COMMSNCE I 1965 1-Q DESIGN D OPERATION- �-�---��' <br /> OWNER OP PROPt RTY NAM[ 1 ADDRESS �iX 17OLZt� T iJOradO, X7611 T.0 7VO� <br /> T- _-_-r,-'---- ,---*----,*---,-,- <br /> Howard Lewis et al ; Stockton, California 95202 <br /> 111. -._...-____-. ADDRESS <br /> OPERATOR�NA ME� l <br /> OPERATOR Foothill Sanitary Landfill, Inc. ; (same as below) <br /> INFORMATION <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERYL# <br /> P. 0. Box 1528, Stockton, California 95201 <br /> .-.._. .-� TILING Rt[ ENCLOSED <br /> I.v... <br /> I hereby acknowledge that 1 have read this application and the Report of Station or Disposal Site Informa- <br /> tion, and certify that the information given is true and accurate to the best of my knowledge and belief. i <br /> In operating the solid waste facility, 1 agree to comply with the conditions of the permit and with state <br /> and local enactments. <br /> SIGNAT NER OR iatL7G .-_. -� - ,r SIGN'ATU# FORAY" OBI#IMIXAT <br /> TYPED NAME -t- --- - - - TYPED NAM <br /> Howard Lewis fianti� J. Nomellini <br /> -OATS <br /> OwnerIs Representative President r <br /> CNE-CK A""#-*#ATM "X <br /> tNFORCtMEMT <br /> APPLICATION APPROVED AFPLICATWN DEN#E.# <br /> AGENCY - -- - - - ----------- -----..- -- '- — <br /> �SIGNATURE ITANSI O PRiN!{iB AT <br /> #A MSt PI'AND <br /> USE ONLY <br /> DATE MINICNIV410 ICNEEK 4"WO001*TE 000x <br /> (� (�"� T O• (''"'� <br /> w1At ft i El +�+1Q�1�oII�It�I�IwI1�K�r t�...t VIBOWD RErMir i..,! A�rsteY e�r+Ra►i.titP�>tiJ,# <br /> M/Av1�IAGEIR EA1T .7 <br /> -- <br /> 944MATUBE IT aft0 reta"*BASMg WAVE ANO l�LE <br />