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STATE OF 6ALIFORNIA <br />DEPARTMENT OF RESOURCES RECYCLING AND RECOVER <br />REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS <br />CALRECYCLE E-1-77 (Rev. 11-15) <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 comoletina this aoolication form in a comDlete and correct manner. <br />FOR OFFICIAL USE ONLY <br />WISMIDID/Global ID NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />39 -AA -0004 <br />11. LIQUIDS <br />® <br />1,01-27117 <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />n <br />3. ASH <br />INCOMPLETE APPLICATION: <br />J % <br />" • <br />13. SEWAGE SLUDGE <br />DATE DUE: <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: B. COUNTY: <br />Environmental Health Department San Joaquin County <br />G. TYPE: OF APPLICAVION (check one box only): <br />1. NEW SWFP and/or WDRS 4. PERMIT REVIEW <br />2. CHANGE TO SWFP and/or WDRS 5. AMENDMENT OF APPLICATION <br />❑ REVISION ❑ MODIFICATION ❑ OTHER (As authorized by law) <br />F-13. WAIVER n 6. 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 N Waverly Road, Linden, Ca 95236 <br />2. LATITUDE AND LONGITUDE: <br />Latitude: 38 Degrees, 02 Minutes Longitude: 120 Degrees, 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 & 13, T2N, East Mount Diablo Base Meridian. <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />0 1. DISPOSAL F --j 3. TRANSFORMATION 5. C&D/INERT DEBRIS PROCESSING <br />a. TYPE: Class III <br />2. COMPOSTABLE MATERIALS HANDLING F --j 4. TRANSFER/PROCESSING 6. IN -VESSEL DIGESTION <br />a. TYPE: <br />7. OTHER (describe): <br />D. IDENTIFICATION OF FACILITY IN CIWMP [CONFORMANCE FINDING]: <br />El 1. FACILITY IS IDENTIFIED IN (Check one): <br />SITING ELEMENT DATE OF DOCUMENT Apr -96 PAGE # 15 <br />® NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE # <br />E. TYPE OF PERMITTED WASTES TO BE RECEIVED: (Check applicable boxes): <br />1. AGRICULTURAL <br />E-1 <br />6. CONSTRUCTION/DEMOLITION ® <br />11. LIQUIDS <br />® <br />2. ASBESTOS ❑ Friable ❑ Non -friable <br />® <br />7. CONTAMINATED SOILS Q <br />12. MUNICIPAL SOLID WASTE (MSW) <br />n <br />3. ASH <br />El <br />8. DEAD ANIMALS r7j <br />13. SEWAGE SLUDGE <br />4. AUTO SHREDDER <br />El <br />9. INDUSTRIAL Ej <br />14. WASTE TIRES <br />® <br />10. INERT E] <br />15. OTHER (describe): Yard Waste (minor quantities) not composted <br />5. COMPOSTABLE MATERIAL (describe): <br />Page 1 <br />