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-J <br /> STATF. Qt'�CALIFOR141A 1 c4'pS M AG M°E^NT BOARD <br /> SOLID WASTE FACILITY PERMIT APPLICATION <br /> 5S%1 iR C-1-17 (NEW 6-71' <br /> FNf ORCt_MENT AGENCY ®�aR ErvF®RCE N sE ONLY <br /> ._SAN__. QU1U -LOCAL-_ ALT.F-_. ISTRI.- T-__ -----_ ._�) FELE NUMBER (PERMIT NUMBER) <br /> COUN"7'Y SAN JOAQUIN-LO L--- <br /> SAN JOAQUIN COUNTY jj ARECEIVED —HBO -- hF TFiICT <br /> -j DATE RECEIVED L <br /> TYPE OF APPLICATION <br /> $. APPLICATION DATE ACCEPTED RECEIPT NUMBER <br /> 1. NOTICE OF FACILIFOR SOLID WASTE S. APPLICATION FOR MODIFICATION <br /> OPERATION • PERMITS* OF PERMIT • 1 <br /> 1. AMENDMENT DATE PERMIT ISSUED CO SWMP REFERENCE PAGE f <br /> (� OF <br /> IF—j1 APPLICATION ❑ 5. APPLICATION FOR REVIEW <br /> NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required <br /> to be submitted to the enforcement agency. *A Report of Station or Disposal Site Information <br /> or an amendment thereto must be submitted with this form. <br /> NAME OF FA CI LITY <br /> - T - F - CATTLE COMPANY (COMMERCIAL SALVAGE) <br /> LOCATION OF FACILITY tGIVE ADDRESS OR LOCATION DESCRIFTIDN BY SECTION, TOWNSHIP, RANGE, COUNTY <br /> L <br /> 2355 WEST -_RGLERSON _R®A _,_ STC KTQI OF FACILITY <br /> 1. <br /> SOLID WASTE DISPOSAL SITE ® TRANSFER/PROLE S SING STATION (INCLUDES RESOURCE RECOVERY) <br /> GENERAL —__-__._.._—..—. _—_ .__.__.__—_._......_._.. .._.._................ ...... .. .........._...__—.__.___.. _._.—._ ..._..-._. <br /> ( TYPE OF WAS TO BE RECEIVED <br /> DESCRIPTION 1 <br /> I ❑ RESIDENTIAL REFUSE ❑ CONSTRUCTION/DEMOLITION WASTES —1HAZARDOUS WASTES <br /> OF <br /> FACILITY f D COMMERCIAL SOLID WASTES ❑ SEWAGE SLUDGE [X] AGRICULTURAL WASTES <br /> �' t ❑ TIRES LIQUIDS/SLURRIES SEPTIC TANK PUMPINGf <br /> e ❑ OTHER (SPECIFY,_`--,- <br /> I1, OPERATION — ! EFFECTIVE — PWOPOS ED CHANGE tCHECK ONE OR BO$Hj — l EFFECTIVE <br /> F ACF LITY DATE 6 DATE <br /> INFi9RM ATlON COMMENCED ❑ WILL COMMENCE I JUNE 19661 ❑ ------ ❑ OPERATION <br /> OWNER OF PROPERTY—(NAME I ADDRESS <br /> FRED MITT i 2355 WEST ROLERSON ROAD, STOCKTON <br /> OP ERA'SO R TNA MET. ------ - l ADDRESS <br /> OPERATOR I <br /> l FW CATTLE COMPANY 2435 EAST WEBER ,__ STC!<TON _ <br /> INFORMATION --- __... _ __. __...._ __ __ _.--___-_._ <br /> ! ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br /> --- <br /> WAFTER D. PROPER . P.D. BOX 952, ANTECA, -CALIFOR_NI 95336--------____-- <br /> FILING FEE ENeLQ�ED <br /> I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Informa- <br /> tion, and certify that the Information given is true and accurate to the best of my knowledge and belief. <br /> In operating the solid waste facility, f agree to comply with the conditions of the permit and with state <br /> and local enactments, <br /> SIGNATU E (OWNER OR AGENT' SIGNA E (OPERATOR OR AGEN <br /> TYPED NAME / TYPED NAME <br /> ROBERT_ C._RONYA_K _- _ - . _.__. <br /> ROBERT_ C.—RONYAK_-- <br /> T®TLE <br /> PRESIDENT 9-1st 77 PRESIDENT 5-10-77 <br /> —EHE CK APPROPRIATE SOX - <br /> ENFORCEMENT 1 <br /> AGENCY I—❑._APPLICATION APPROVED APPLICATION DENIED <br /> ....... TIT <br /> SIGNATURE TLE AND PRINTED NAME DATE AND TELEPHONE NO. <br /> USE ONLY t <br /> DATE RECEIVED CHECK APPROPRIATE SOX <br /> SOLIDOBJECT TO <br /> PROPOSED <br /> WASTE PERMIT f� <br /> l Q CONCUR U PROPOSED PERMIT L.J AGENCY DENIAL UPHELD <br /> El <br /> MANAGEMENT <br /> BOARD ------OTFd ER_(SPECIFY)---'—-'—_. ----- <br /> i S9:NATURE i TITLE AND PRINTED NAME DATE AND TELEPHONE NO. <br /> USE ONLY � +1 <br /> i <br />