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'ATE OF CALIFORNIA <br /> REGIONAL WATER DUALITY CONTROL HOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT HOARD <br /> DEPARTMENT OF FORESTRY - <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This form is to be used for filing a/an: (check all appropriate) 7FReporiRtac'd <br /> R OFFICE USE ONLY <br /> Rat:tl___ ---__ <br /> 1. IXI REPORT OF WASTE DISCHARGE CBI (SWMBI <br /> (punuant to Division 7 of the State Water Coda) --- ---- <br /> 2. �J APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT ischarger <br /> r 1punuant to Health and Saiaty Code Section 252001 cd__3. l l APPLICATION FOR A SOLID WASTE FACILITIES PERMIT ate(pursuant to Go",.nant Code Section 66796.301 ied4. 0 APPLICATION FOR A RUBBISH DUMP PERMIT . <br /> (pursuant to Public Resources Code Sections 4371-4375 and 44381 <br /> SWMB No. <br /> FACILITY <br /> w AMC OI .weIt1TY <br /> Foster Freeze Fast Food facility I �09w++)+794-27r 20 <br /> 26440 North Thornton Road, Thornton, CA 95686 <br /> a W..ui of LmAL ow We.o. rAuuTT <br /> Michael Manser It09 )794-2720 <br /> .ww...a <br /> 26440 North Thornton Road Thornton CA 9 <br /> 5686 <br /> C X.MR O. .VflXtaf O.[O..rXO .At:I..ITT - ( <br /> Michael Manser 209 ) 794-2720 <br /> 26440 North Thornton Road Thornton, CA 95686 <br /> p. o. .V)I <br /> f�Y.—. Xa,:Geaw ATIXO .ACUITY-- 11 <br /> wmmant Agency <br /> Sola Ptopriatonn.0 a Partnership Corporation — <br /> e. XANf pP g.N.w , gF.p..N...p.awATIXO .Apllrt♦ ( <br /> Michael Manser 209 )794-2720 <br /> IL ReAfON IDR FiLINO <br /> A"' •^New dischane or lacility D. Change in character of discharge G. Change in business tmenting facility <br /> El <br /> 8. Existing m <br /> pnenane or facility E. Charspa in place or ethod of disOoral H, Enlargement of existing facility <br /> c4• C Increase....amity of discharge F. Changs in design or operation I. Other(azplain below) <br /> lJ <br /> ^III. TY/l or OPCRATION <br /> +A..• •wTrarofer rtangn D. I til Sewage tnatneent G. Woodwmte site <br /> '-•c I E. IIrLyJl1 Intlust (on-site disposal fecifitY) _ H.Li Other(eaown below) <br /> g. Solid waste disposal site � ry <br /> C. I Matardom waste daposal site F. Industry(discharge to nvwrl <br /> -'-'- IV. TYPE OF WASTE <br /> c_wcM1 <br /> A. Sawaos.sewage sludge,end/or E, Agricultural wasns 1 Inan matnMts <br /> tank m <br /> septic pupmga <br /> F, Animal wenn J. Oaetl animate <br /> e. Industrial wanes <br /> C I I Municmel solid Wastes G. - Forest product Wastes K. 1 Tim <br /> ---i <br /> H...00., H. Construction/demolition wastes L. I Other(explain below) <br /> D. J wanes <br /> Fast Food Facility <br /> '— --- --- V. SITC D[fICN CAPACITY <br /> ... .F <br /> .005 MGA y-......+ 005X MGD X. .... L. I . ...75.e <br /> ..+40 years <br /> �o+u sea )way,•,u) - !OVER) <br /> J <br />