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0 <br /> State of California California Department of Resources Recycling and Recovery <br /> CalRecycle 500(Rev.6/14) <br /> WASTE TIRE FACILITY <br /> PERMIT APPLICATION <br /> I. TYPE OF APPLICATION (please print or type) TPID#: /'S'3 73.'.6—G% <br /> ® New ❑ Penn it CalRecycle use only <br /> Permit Revision Dale Received: <br /> Application DaleAcce ted: <br /> ❑ Amendment Date Rejected: <br /> II. TYPE OF FACILITY <br /> ® Major Waste Tire Facility(5,000 or more tires) <br /> ❑ Minor Waste Tire Facility(500 or more tires,but less than 5,000) <br /> III. GENERAL INFORMATION <br /> Facility Name: CRM Co.LLC <br /> Facility Mailing Address: 1 1404 South Fresno Avenue <br /> City: Stockton I County: San Joaquin State: CA Zip: 95206 Phone: 209-662-6090 <br /> Facility Location(if different from mailing address): <br /> City: County: State: Zip: Phone: <br /> Assessor's Parcel Number(s): 163-37-018 GPS Coordinates: 1 37.93621,-121.310989 Site Acreage: 8.66 <br /> Facility Operator's Name: Dr.Bary Takallou,Ph.D.,P.E. <br /> Mailing/address: 1 1301 Dove Street Suite 940 <br /> City: Newport Beach I County: Orange State: CA I Zip: 92660 Phone: 949-263-9100 <br /> Property Owner's Name(if dit9erent from operator): <br /> Mailing Address: <br /> City: I I County: State: Zip: Phone: <br /> IV. AGENCY INFORMATION <br /> Fire Authority Agency Name: I Stockton Fire Department <br /> Contact Person: Phil Simon Phone: 1 209-937-8271 <br /> Vector Control/Mosquito Abatement Agency Name: San Joaquin County Mosquito&Vector Control District <br /> Contact Person: Bob Derm Phone: 209-982-4676 <br /> V. TYPE AND QUANTITY OF WASTE TIRES <br /> ® Whole Passenger M Whole Truck ❑ Whole Tractor ❑ Split Tires <br /> Type of Waste ❑ Whole Earth mover/Con struction Equipment ® Cut Tires Shredded Tires <br /> Tires Received: <br /> ® Other: Truck tire Buffings <br /> Number of Whole Waste Tires/Passenger Tire Equivalents Stored or Maintained On-Site: 80,000 <br /> Maximum Capacity(Whole Waste Tires/Passenger Tire Equivalents): 200,000 <br /> ECEIVE�� <br /> SEP 3 0 2015 <br />