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I <br /> 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 (Rey. 11-0b7 <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 /> I <br /> SWISANDID/Global ID NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> _ a i <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> jINCOMPLETE APPLICATION: <br /> I O 7. r7;, T3 DATE DUE: <br /> i <br /> Part 1 . GENERAL INFORMATION <br /> A. ENFORCEMENT AGENCY: B. COUNTY: <br /> San Joaquin Cty . Environmental Health Department San Joaquin <br /> C T ac ono box only : <br /> � 1 . NEW SWFP and/or WDRS Pq 4. PERMIT REVIEW <br /> n2. CHANGE TO SWFP and/or WDRS 5 , AMENDMENT OF APPLICATION <br /> ❑ REVISION 0 MODIFICATION ❑ OTHER (As authorized by lav4 <br /> 113, WAIVER 6. RFIIROWD/JTD AMENDMENTS <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 /> F1 1 . DISPOSAL 3, TRANSFORMATION 0 6, C&D/INERT DEBRIS PROCESSING <br /> a. TYPE : <br /> X1 2. COMPOSTABLE MATERIALS HANDLING 4. TRANSFER/PROCESSING F1 6. IN-VESSEL DIGESTION <br /> a . TYPE : FOod Waste/Green Waste <br /> ® 7 . OTHER (describe): CallneryWaste <br /> D. IDENTIFICATION OF FACILITY IN CIWMP [CONFORMANCE FINDING] : <br /> FRI 1 , FACILITY IS IDENTIFIED IN (Check one): <br /> x 1 SITING ELEMENT DATE OF DOCUMENT March 1 , 1997 PAGE # <br /> NON DISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE # <br /> E. TYPE OF PERMITTED WASTES TO BE RECEIVED ; (Check applicable boxes) : <br /> XD 1 . AGRICULTURAL F7 6. CONSTRUCTIONIDEMOLITION ❑ 11 . LIQUIDS <br /> ❑ 'L. H� tlt� I UJ n rnabre o naRtriable 7 , CONTAMINATED SOILS ® 12 . MUNICIPAL SOLID WASTE (MSW) <br /> M 3, ASH 0 6, DEAD ANIMALS Fj 13, SEWAGE SLUDGE <br /> 4, AUTO SHREDDERXn 9. INDUSTRIAL XX 14. WASTE TIRES <br /> X❑ 10. INERT 15. OTHER (descdbe) : Appilances , u waste , a-waste <br /> i <br /> xi 5. COMPOSTABLE MATERIAL (describe) : Source separated green waste and food waste; co-collected organics <br /> Page 1 <br />