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STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE DISCHARGE REQUIREMENTS <br /> CWW E-1-77(Rev.804) <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 /> B NUMBER: "RUNG FEE: RECEIPT NUMBER: DATE RECEIVED; <br /> 39-AA-0004 <br /> ATE ACCEPTED DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> ENVIRONMENTAL HEALTH DEPARTMENT SAN JOAQUIN COUNTY <br /> C.TYPE OF APPLICATION(Check are box only): <br /> 1.NEW SWFP and/or WDRS �4.PERMIT REVIEW <br /> �2.REVISION OF SWFP and/or WDRS �5.AMENDMENT OF APPLICATION <br /> �3.EXEMPTION and/or WAIVER �6.RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A.NAME OF FACILITY: <br /> Foothill Sanitary Landfill <br /> B.LOCATION OF FACILITY: <br /> 1.PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 6484 Waverly Road Linden CA 95206 <br /> 2.LATITUDE AND LONGITUDE: <br /> Latitude:38 Degrees,02 Minutes Longitude:120 Degrees,56 Minutes <br /> 3.LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SEC110N,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: -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 /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> �1.DISPOSAL �3.TRANSFORMATION S.OTHER(de,x <br /> a.TYPE: Class III <br /> �2.COMPOSTING �4.TRANSFER/PROCESSING FACILITY <br /> a.TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> 1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT Apr-96 PAGE N 15 <br /> NONDISPOSAL FACILITY ELEME DATE OF DOCUMENT PAGE A <br /> �2.FACILITY S NOT REQUIRED TO BE IDENTIFIED IN SITNG ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> OX 1.AGRICULTURAL �6.CONSTRUCTION/DEMOLITIGN�iI.LIQUIDS <br /> �2.ASBESTOS O Friable❑Non-friable 7.CONTAMINATED SOILS �12.MIXED/MUNICIPAL SOLID WASTE <br /> �3.ASH 8.DEAD ANIMALS 13.SEWAGE SLUDGE <br /> �4.AUTO SHREDDER �9.INDUSTRIAL 14.TIRES <br /> 10.INERT 15.OTHER(describe): <br /> �5.COMPOSTABLE MATERIAL(describe): <br />