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State of California California Integrated Waste <br />CIWMB 169 (Rev 4/04) Management Board <br />ENFORCEMENT AGENCY NOTIFICATION <br />Enforcement Agency: Official Use Only <br />SWIS Number: <br />County: Date Received: <br />I. GENERAL INFORMATION <br />Operation Name: <br />Green Earth Recovery <br />Address: <br />120500 Holly Dr <br />City: <br />I Tracy <br />State: <br />I CA <br />I Zip: <br />95304 <br />Phone: 1 <br />510-760-0977 <br />Fax: <br />ruintl@outlook.com <br />Operator Name: <br />Yayo Enterprises <br />Address: <br />I P.O. Box 2643 <br />City: <br />Union City <br />State: <br />CA <br />Zip: <br />94587 <br />Phone: 1 <br />510-760-0977 <br />Fax: <br />ruintl@outlook.com <br />Land Owner: <br />I Holly Commerce Center, LLC c/o Steve Cortese <br />Address: <br />21 Lafayette Circle, suite #200 <br />City: <br />I Lafayette <br />State: <br />CA <br />Zip: <br />94549 <br />Phone: <br />925-283-8777 <br />Fax: <br />925-283-8275 <br />II. OPERATION INFORMATION <br />Authorizing Eligibility (state Section of 14 CCR Division 7, Chapter 3 or3.1): See back for more details <br />17862.1 <br />Type(s) of Waste/Material Handled: <br />GREEN WASTE, WOOD <br />Volume of Waste/Material Handled: <br />Peak Loading: <br />I ❑ Cubic' ards or ❑Tons <br />Annual Loading: <br />❑ Cubic Yards or ❑ Tons <br />Days and Hours of Operation: <br />[Kon— Saturday / 7AM to 3PM I <br />Operation Acreage: <br />13.1 <br />Brief Description of the Operation: <br />9-115.345 — AG wastes / 9-505.2 Industrial Zone <br />"Storage, stockpiling, sacking and sale of waste products and by products including composting." <br />Receive green waste, chip and screen into 3 different sizes, then remove larger and compost fines. <br />Receive wood, chip and screen into 2 different sizes, then remove larger and compost fines. <br />III. DOCUMENTATION OF LOCAL NOTIFICATION (check one and submit with EA Notification) <br />❑ <br />Proof of Compliance with the California Environmental Quality Act (CEQA). <br />❑ <br />Correspondence from the local planning department that compliance with CEQA is not required for the operation to <br />obtain local land use approval. <br />® <br />Written notice to the local planning department of the operator's intent to commence operations. <br />IV. OWNERIOPERATOR CERTIFICATION <br />I hereby certify under penalty of perjury th the informal.,!PAX is true and accurate to the best of my knowledge and belief. <br />Signature of Land Owner:174k"..2 <br />Q fjGC LLG <br />Date: <br />9 —� _ Zo/b <br />Signature of Operator: <br />Date: <br />Completion of this form is not required by regulation; however, it will provide the enforcement agency with the information required by 14 CCR 18103.1. <br />0 A separate Notification is required for each eligible operation. <br />