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State of California California Department of Resources Recycling and Recovery CalRecycle 502(Rev.6114) WASTE TIRE FACILITY ENVIRONMENTAL INFORMATION (THIS IS NOT A CEQA DOCUMENT) The following information will aid in the environmental review of your application as required by the California Environmental Quality Act(CEQA). IN ORDER FOR YOUR APPLICATION TO BE ACCEPTED AS COMPLETE,ANSWERS TO THE QUESTIONS LISTED BELOW MUST BE COMPLETED TO THE BEST OF YOUR ABILITY. Failure to answer all questions may result in your application being deemed incomplete and returned to you,causing delays in processing. If you need more space, attach additional pages. Additional information may be required from you to clarify the information requested in this form. GENERAL INFORMATION(please print or type) TPID#: 1608939-01 Facility Name: Waste Recovery West,Inc. Facility Operator's Name: Waste Recovery West,Inc. Mailing Address: P.O. Box 83328 City I Portland I County Multnomah Stats: OR Zip: 97283 Phone: 503-240-1919 Project Address(if diffar nt from w=tor mailing addnm): 4554 S.El Dorado Street City Stockton County San Joaquin State: CA Zip: 95206 Phone: 209-234-0740 EXISTING WASTE TIRE FACILITIES Is the application for an existing waste tire facility ❑ No v Yes If Yes,indicate all changes in the design and operation of the facility: The facility first began operation as a Major Waste Tire Facility in August of 2010,approximately 4 years ago. There has been no substantial change in the design and operation of the facility as otherwise approved 4 years ago. PROJECT DESCRIPTION Provide a brief description of your project,including but not limited to,site acreage,type of construction activity,structures to be bui1t,and pmjcct on: The project is for the processing of whole scrap tires into"tire derived aggregate"(TDA)and the covered storage of used tires. There will be up to 19 people working 8-10 hrs.per day Monday-Friday. Whole scrap tires will be picked up and brought to the site by the applicant,processed into TDF/TDA within the existing buildings,stored per the footprint(s)in the diagram/schematie,and then loaded and transported to market. The TDA is used for civil engineering projects such as road base or fill material or tire derived fuel. Pick up and delivery will average 17 vehicles per day. No new structures are proposed. Tractors and trailers used for tire pick up will be stored on the property. Current parcel(s)size is 7.458 acres,all useable acres.