COMPLIANCE INFO_1977-2010 - Laserfiche WebLink

Home Browse Search

AA STATE OF CALIFORNIAI W TA�/�GE1NT BOARD SOLID WASTE FACILITY PERMIT APPLICATION SSWM6 E-i-77 (NEW 6-77) ENFORCEMENT AGENCY FOR ENFORCEm C E ONLY SAN JOA UIN L CAL._HEALTH_ DISTRICT FILE NUMBER (PERMIT NUMBER) COUNTY SA IJIN LOCAL SAN JOAQUIN COUNTY _ _--_ DATE RECEIVED If&WIMSTRICT TYPE OF APPLICATION - T f - 2. APPLICATION r��----ttt DATE ACCEPTED RECEIPT NUMBER 1. NOTICE OF r_j P6R ®N * FACILITY SOLID WASTE 1 1 OF PERMIT OPERAAPPLICATION FOR MODIFICATION PERMIT * u 4.AMENDMENT DATE PERMIT ISSUED CO SWMP REFERENCE PAGE(S) OF APPLICATION ❑ 6. APPLICATION FOR REVIEW NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the enforcement agency. *A Report of Station or Disposal Site Information or an amendment thereto must be submitted with this form. � - NAME OF FACILITY -- --`-------.�...----COMMERCIAL SALVAGE____ LOCATION OF FACILITY (GIVE ADDRESS OR LOCATION DESCRIPTION BY SECTION,TOWNSHIP.RANGE, COUNTY 2435 EAST LEDER AVENUE, STOCKT TYPE OF' FACILI TY - -_-� -i I, ® SOLID WASTE DISPOSAL SITE ® TRANSFER/PROCESSING STATION (INCLUDES RESOURCE RECOVERY) GENERAL TYPE OF WASTES TO BE RECEIVED -_� ----_----- --- _ - DESCRIPTION ❑ RESIDENTIAL REFUSE ❑ CONSTRUCTION/DEMOLITION WASTES HAZARDOUS WASTES OF FACILITY I ® COMMERCIAL SOLID WASTES SEWAGE SLUDGE AGRICULTURAL WASTES 11 ® TIRES LIQUIDS/SLURRIES SEPTIC TANK PUMPINGS OTHER (SPECIFY) _ 11. OPERATION -_- -�. ' EFFECTIVE PROPOSED CHANGE (CHECK OxE OR OTHEFFECTIVEF DATE �(�''�J I DATE INFORMATION ® COMMENCED ❑ WILL COMMENCE_I MAY 196 DESIGN L.-d OPERATION 1 OWNER OF PROPERTY NAME - s I ADDRESS --� JB RANCH ------ --- III __.� ___...._._._-�-- -.---_.-.._ .__.._.__ OPERATOR NAME I ADDRESS OPERATOR COMMERCIAL SALVAGE ' q t^. INFORMATION AD®!affiss WHERE LEGAL NOTICE MAY BE�9ERvE®-- -.._.._____ ..__-.---.' --...___ 4. _ A-al WE_R ®E_1�._ -_CK y I ON D. PROP-ER._P.- ® QX _952. ANTEC -, CALIFORNIA 95336 FILING FEE ENCLOSED - IV, s I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Informa- tion, and certify that the information given is true and accurate to the best of my knowledge and belief. In operating the solid waste facility, I agree to comply with the conditions of the permit and with state and local enactments. SIGNATURE (O ER AGENT SIGNATU (OP ATOR O GECT, T NAME FREDERICK C. NELSON , FREDERICK C. NELSON _ TITLE - -- - -�� DATE - TITLE - -- -- DATE GENERAL MANAGER -10-77GENERAL MANAGER_ 8-10®77 CHECK APPROPRIATE BOX _ - ENFORCEMENT ® _ APPA,-1 CATION APPROVED I I APPLICATION DENIED AGENCY - ----- �. SIGNATURE TITLE AND PRINTED NAME USE ONLY DATE AND TELEPHONE NO, DATE RECEIVED .::CHECK"APPROPRIAT w®X -- SOLID ' CONCUR WITHOBJECT TO WASTE PROPOSED PERMIT PROPOSED PERMIT AGENCY DENIAL UPHELD MANAGEMENT BOARD -_. I•--I OTHER SPECIFY _ SIGNATURE ` TITLE AND PRINTED NAME DATE AND USE ONLY TELEPHONE NO.