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STATE OF CALIFORNIA <br /> DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS <br /> CALRECYCLE E-1-77 (Rev, 1146) <br /> NOTE: Thisform has en 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 /> SWISIWDIDIGIobal ID NUMBER: FILING FEE : RECEIPT NUMBER: DATE RECEIVED: <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> ^7 INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1 , GENERAL INFORMATION <br /> A. ENFORCEMENT AGENCY: B. COUNTY: j <br /> San Joaquin Cty, Environmental Health Department San Joaquin <br /> C, TYPE F APPLICATION (Check one box only): <br /> 01 , NEW SWFP and/or WDRS 0 4 , PERMIT REVIEW <br /> E12 . CHANGE TO SWFP andfor WDRS n 5. AMENDMENT OF APPLICATION <br /> ❑ REVISION 0 MODIFICATION ❑ OTHER (As authorized by law) <br /> F3. WAIVER ❑X 6, RFIIROWDIJTDAMENDMENTS <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Tracy Material Recovery & Transfer Facility <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 /> 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 /> M 1 . DISPOSAL F'j 3. TRANSFORMATION 0 5, C&DIINERT DEBRIS PROCESSING <br /> a. TYPE : <br /> 0 2, COMPOSTABLE MATERIALS HANDLING Q 4. TRANSFERIPROCESSING E] 6. IN-VESSEL DIGESTION <br /> a. TYPE: Food Waste/Green Waste <br /> 0 7. OTHER (describe): Cannery Waste <br /> D. IDENTIFICATION OF FACILITY IN CIWMP [CONFORMANCE FINDING] : <br /> r 1 . FACILITY IS IDENTIFIED IN (Check one): <br /> Xn SITING ELEMENT DATE OF DOCUMENT March 1 , 1997 PAGE # <br /> NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE # <br /> E. TYPE OF PERMITTED WASTES TO BE RECEIVED : (Check applicable boxes): <br /> X� L AGRICULTURAL 0 6, CONSTRUCTIONIDEMOLITION 11 . LIQUIDS <br /> 2. ASBESTOS D Fdable D Non-fdable 0 7. CONTAMINATED SOILS X 12. MUNICIPAL SOLID WASTE (MSW) <br /> 3. ASH ED 8. DEAD ANIMALS 13, SEWAGE SLUDGE <br /> 4. AUTO SHREDDER p 9 . INDUSTRIAL RI 14. WASTE TIRES <br /> X1 10. INERTX❑ ib. OTHER (describe) : Appliances, U-waste, a-waste <br /> F 5. COMPOSTABLE MATERIAL (describe): Source -separated green waste and food Waste ; co-collected organics <br /> Page 1 <br />