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STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS <br /> CIW MB 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 NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> 39-AA-0004 <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> '.INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <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 V,, APPLICATION <br /> 2.REVISION OF SWFP and/or WDRS <br /> 3.EXEMPTION and/or WANER MENDMENTS <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 95236 <br /> 2.LATITUDE AND LONGITUDE: <br /> Latitude:38 Degrees,02 Minutes Longitude:120 D rees,56 Minutes <br /> 3.LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHI NGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> Two parcels:APN 093-043-01 (160 acres and 0 -044-01 640 acres),located in Section 12&13,T2N,East Mount Diablo Base Meridian. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> O1.DISPOSAL 3.TRANSFORMATION �5.OTHER(des <br /> a.TYPE: Class III <br /> O2.COMPOSTING �4.TRANSFERIPROCESSING FACILITY <br /> a.TYPE: O CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> Some inerts used for roads,some metals,some CRTs,etc <br /> D.CONFORMANCE FINDING INFORM AT N(CIWMP): <br /> 1.FACILITY IS IDENTIFIED I (Check one): <br /> SITING ELEMENT DATE OF DOCUMENT Apr-96 PAGE# 15 <br /> �NONDISPOSAL FACILITY ELEI DATE OF DOCUMENT PAGE# <br /> O2.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 /> O1.AGRICULTURAL O6.CONSTRUCTION/DEMOLmON 011.LIQUIDS <br /> �2.ASBESTOS❑Friable O Non-friable 7.CONTAMINATED SOILS �12.MIXED/MUNICIPAL SOLID WASTE <br /> D3.ASH O8.DEAD ANIMALS �13.SEWAGE SLUDGE <br /> D4.AUTO SHREDDER �9.INDUSTRIAL 14.TIRES <br /> �10.INERT 15.OTHER(describe): <br /> �5.COMPOSTABLE MATERIAL(describe): Yard waste(minor quantities)not Composted <br /> N:\1 FoothillUTD-Permit Review 2010\ <br /> FH-5 yr_Permit Review App n Tables.xls 1 of 4 <br />