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� 0 <br /> STATE OF CALIFORNIA <br /> CALIFORNIA DEPARTMENT OF RESOURCES,RECOVERY AND RECYCLING <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITMASTE DISCHARGE REQUIREMENTS <br /> CIWMB E-1-77(Rev.8-04) <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 /> SWIS NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: / <br /> 39-AA-0008 71 <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Department of Environmental Health San Joaquin <br /> C.TYPE OF APPLICATION(Check one box only):_ <br /> 1. NEW SWFP and/or WDRS X❑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 /> Lovelace Transfer Station <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 2323 East Lovelace Road, Manteca,CA 95336 <br /> 2. LATITUDE AND LONGITUDE: <br /> 37.84862 N Latitude,-121.25278 Longitude <br /> 3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> Located on the north side of Lovelace Road,2240 feet west of Union Road, North of Manteca <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> r_11.DISPOSAL �3.TRANSFORMATION 05.OTHER(describe): <br /> a. TYPE: <br /> F12.COMPOSTING ®4.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: x CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> X❑1.FACILITY IS IDENTIFIED IN(Check one): <br /> ®SITING ELEMENT DATE OF DOCUMENT PAGE# <br /> El NONDISPOSAL FACILITY EL DATE OF DOCUMENT Dec-94 PAGE# 9 <br /> ❑2.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> O1.AGRICULTURAL n6.CONSTRUCTION/DEMOLITION ❑11.LIQUIDS <br /> 1-12.ASBESTOS o Friable o Non-friable ❑T CONTAMINATED SOILS �12.MIXED/MUNICIPAL SOLID WASTE <br /> El 3.ASH F-18.DEAD ANIMALS ❑13.SEWAGE SLUDGE <br /> F-14.AUTO SHREDDER E-19.INDUSTRIAL X14.TIRES White goods,Household hazardous waste, <br /> ®10.INERT X❑15.OTHER(describe): electronics,waste 011 <br /> ®5.COMPOSTABLE MATERIAL(describe): Green waste,wood waste,yard clippings <br /> Lovelace Permit Review 2015 Printed 2/23/2015 <br />