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STATE OF CALIFORNIA <br /> S r e ? <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD lR s <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS <br /> AJIWWMB E-1.77(Rev.8M) <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 0 complete and correct manner. <br /> FOR OFFICIAL USE ONLY <br /> LS NUMBER: FILING FEE: RECEIPT NUMBER DAIS RECEIVED: <br /> 39-AA-0004 <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL tINFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> ENVIRONMENTAL HEALTH DEPARTMENT SAN JOAQUIN COUNTY <br /> C.TYPE OF APPLICATION(Check one box only): <br /> 1.NEW SWFP and/or WDRS �4.PERMR REVIEW <br /> �2.REVISION OF SWFP and/or WDRS �5.AMENDMENT OF APPLICATION <br /> �3.EXEMPTION and/or WAIVER &RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A.NAME OF FACILITY. <br /> Foothill Sanitary Landfill <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE <br /> 6484 Waverly Road,Linden,CA 95206 <br /> 2.LATITUDE AND LONGITUDE. <br /> Latitude:38 Degrees.02 Minutes Longitude:120 Degree%56 Minutes <br /> 3.LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE.BASE,AND MERIDIAN.IF SURVEYED: <br /> Two parcels:APN 093-043-01 (160 acres)and 093-044-01(640 acres),located in Section 12 d 13 T2N East Mount Diablo Base Meridian <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> & I <br /> 1.DISPOSAL 3.TRANSFORMATION 5.OTHER(dex <br /> a.TYPE Class III <br /> �2.COMPOSTNG �4.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: O CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> 1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT Apr-90 PAGE# 15 <br /> ONONDISPOSAL FACILITY ELEME DATE OF DOCUMENT PAGE# <br /> 2.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENF <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> �1.AGRICULTURAL OX b.CONSTRUCTION/DEMOUTIONN 11.LIQUIDS <br /> �2.ASBESTOS O Friable O Non-friable 7.CONTAMINATED SOILS 12.MIXED/MUNICIPAL SOLID WASTE <br /> �3.ASH B.DEAD ANIMALS 13.SEWAGE SLUDGE <br /> 4.AUTO SHREDDER �9.INDUSTRIAL �14.TIRES <br /> �10.INERT 15.OTHER(describe): <br /> C�5.COMPOSTABLE MATERIAL(describe): <br /> NA11 FoothilPJTD-2004\5-year permit app July 05\AppIForSW-FacilityPermit-FH.xls,Sheets <br />