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S T A T E O F C A L I F O R NIA <br />DD E P A R T M E N T O F R E S O U R C E S R E C Y C L I N G A N D R E C O V E R Y <br />R E G I O N A L W A T E R Q U A L I T Y C O N T R O L B O A R D <br />APPLICATION FOR SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS <br />CALRECYCLE E-1-77 (Rev. 11-15) <br />NOTE: This f orm has been developed for multi pl e uses. It is t he transmitta l sheet for documents required t o be submitted to the appropri a t e agency. <br />P l ease ref er t o t he attached i nstructi ons for def i n i tions of t erms and f or compl e ti ng th is applicati on f orm i n a compl e t e and correct manner. <br />FF O R O F F I C IA L U S E O N L Y <br />S W IS/W DID /G l o b a l ID N U M B E R : F IL I N G F E E : R E C E I P T N U M B E R : D A T E R E C E I V E D : <br />D A T E A C C E P T E D : DD A T E R E J E C T E D : A C C E P T A N C E D A T E O F <br />I N C O M P L E T E A P P L I C A TI O N : <br />D A T E D U E : <br />Part 1. GENERAL INFORMATION <br />A . ENFORCEMENT AGENCY: B. COUNTY: <br />C . TYPE OF APPLICATION (CC h e c k o n e b o x o n l y ): <br />1 . NEW SWFP and/or WDRS <br />2 . CHANGE TO SWFP and/or WDRS <br />REVISION MODIFICATION OTHER (As authori zed by law) <br />3 . WAIVER <br />4 . PERMIT REVIEW <br />5 . AMENDMENT OF APPLICATION <br />ᇝ ᇝᇝ <br />6 . RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A .NN A M E O F F A C IL I T Y : <br />B . L O C A T I O N O F F A C IL I T Y : <br />1 . PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />2 . LATITUDE AND LONGITUDE: <br />3 . LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: <br />CC . T Y P E O F A C T I V I T Y : (C h e c k a p p l i c a b l e b o x e s ): <br />1 . DISPOSAL <br />a . TYPE : <br />2 . COMPOSTABLE MATERIALS HANDLING <br />a . TYPE: <br />3 . TRANSFORMATION <br />4 . TRANSFER/PROCESSING <br />5 . C&D/INERT DEBRIS PROCESSING <br />6 . IN-VESSEL DIGESTION <br />7 . OTHER (describe): <br />D . I D E N T I F I C A TI O N O F F A C IL I T Y I N C IW M P [C O N F O R M A N C E F I N D I N G ]: <br />1 . FACILITY IS IDENTIFIED IN (Check one): <br />SITING ELEMENT DATE OF DOCUMENT PAGE # <br />NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE # <br />E . T Y P E O F P E R MI T T E D W A S T E S T O B E R E C E I V E D : (C h e c k a p p l i c a b l e b o x e s ): <br />1 . AGRICULTURAL <br />2 . ASBESTOS Friabl e Non-friabl e ප ප <br />3 . ASH <br />4 . AUTO SHREDDER <br />5 . COMPOSTABLE MATERIAL (describe): <br />6 . CONSTRUCTION/DEMOLITION <br />7 . CONTAMINATED SOILS <br />8 . DEAD ANIMALS <br />9 . INDUSTRIAL <br />10. INERT <br />11. LIQUIDS <br />12. MUNICIPAL SOLID WASTE (MSW) <br />13. SEWAGE SLUDGE <br />14. WASTE TIRES <br />15. OTHER (describe): <br />Page 1 <br /> 39-AA-0004 01-05-2026 <br /> 01-08-2026 <br />Environmental Health Department San Joaquin County <br />✔ <br />Foothill Sanitary Landfill <br />6484 N Waverly Rd Linden, CA 95236 <br />Latitude 38 deg, 02 min, Longitude 120 deg, 56 min <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 />✔ <br />Class III <br />✔ <br />✔04/01/1996 15 <br />✔✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔Yard waste (minor Quantities) not composted