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ON <br /> OF C1�LIFORNIA SOLI) WASTE MANAGEMENT BOARD <br /> SOLID WASTE FACILITY PERMIT APPLICATION <br /> SSWMB E-1-77 (NEW 6-77) <br /> ENFORCEMENT AGENCY FOR ENFORCEMENT AGENCY USE ONLY <br /> San Joaquin County Health District FILE NVMBER (PERMIT NUMBER) <br /> .. _..___.. --_ <br /> .:COUNTY ..... ....-__..._ ._._..___ -_____. -___.__._.__.__.._ <br /> RECEIVED ---__� FILING <br /> ATE <br /> San Joaquin <br /> - - - <br /> TYPE OF APPLICATION ` - <br /> --_ -----.._._-_ <br /> 2. APPLICATION DATE ACCEPTED RECEIPT NUMBER <br /> 1. NOTICE OreOR SOLID WASTE <br /> r7 F <br /> �`- g, APPLICATION FOR MODIFICATION <br /> OPERATION * (_ PERMIr�' OF PERMIT * �� <br /> A. AMENDMENT DATE PERMtT lSSU£O CO BWMP R$RER ��PAWES <br /> OF <br /> APPLICATION ❑ g. APPLICATION FOR REVIEW <br /> NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required <br /> to be submitted to the enforcement agency. *A Report of Station or Disposal Site Information <br /> or an amendment thereto must be submitted with this form. <br /> AC <br /> NAME OF FILtTY .._-_._.._._.._... ..._.._....._..._..._..__.._._..�_..._.___ _. <br /> -ato.ck.tc)n_:S,c_ veneer---Assoc-ia -to-n- __Corporate <br /> i LOCATION OF FACILITY GIVE DRESS OR LOCATION DESCRIPTION BY ACTION:,TOWNSHIP,RANGE, COUNTY ^� <br /> 1240 Navy Drive, Stockton, CA <br /> _.__..-------____�._._.._--__. <br /> TYPE OF FACILITY <br /> aSOLID WASTE DISPOSAL STYE TRANSFER/PROCESSING STATION (INCLUDES RESOURCE RECOVERY) <br /> GENERALTYPE i;-1;-W___A._._.STES.-___ CElVEO TO BE RE..._._..._._ _.__ __.___..__._. . <br /> i <br /> DESCRIPTION <br /> RESIDENTIAL REFUSECONSTRUCTION.JOEMOLIT{ON WASTES f <br /> OF HAZARDOUS WASTES <br /> .FACILITY + COMMERCIAL SOLID WASTES F1 SEWAGE SLUDGE - AGRICULTURAL WASTES <br /> D .TIRES LIQUID SJSLURR I ES SEPTIC TANK PUMPINGS <br /> �. OTHER (SPECIFY'_ <br /> {(. OPERATION { EFFECTIVE ( OPOSED CHANGE tCH$CK ONE OR F307H� I EPFE CTIVE+- <br /> I DAF ID <br /> FACIliTY ® DATE <br /> INFORMATION COMMENG�D WILLCOMME'NCE 1 / �'r ... �� DESIGN OPERATION I <br /> - __-_-ADDRE%S__ <br /> OWtNER OF PROPERTY NAME_._ _ ..__.,.._.. _ ..._..,..-. ..._......._..�.,. .. <br /> ! <br /> Stockton Scavenger Assn. Inc. <br /> ___-_ g .r . <br /> _r �oPr:RA4oR�AME __.._. I wooers$ <br /> OPERATOR _Stockton Scavenger Assn. , Inc, <br /> INFORMATION .._.__._ ..._ --- ___ ....__. ._. _..___.... _ <br /> r _ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br /> 526 E. Weber Avenue, Stockton, CA 95202 <br /> _.. .._.._... <br /> FILING FEE ENCLOSED <br /> 1V. f <br /> I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Inform& <br /> tion, and certify that the iliforma+ion given is true and accurate to the best of my knowledge and belief. <br /> In operating the solid waste facility, I agree to comply with the conditions of the permit and with state <br /> and local enactments. <br /> Si6N�A4�lR8 (O N$R RAG N7) .-� Eq1GN:FPERATOW`bR AtiEN4E <br /> Andrew P. Mangili o <br /> TITLE ..„.. ._ _._ -.. DATE TITLE RATE <br /> President8/11/77 Gr ter. c �r� rales --�Z <br /> CHECK APPROPRIATE BOX --� - <br /> ENFORCEMENT I-'""i s--'moi <br /> (__j APPLICATION APPROVED 1 { APPLICATION DENIED <br /> AGENCY I-.--'--.--._. . - --- .-_._....__ _._ . ._ �-3 _ <br /> SIGNATURE TITLE AND PRINTED 'NAME _ DATE AND TELEPHONE NO, <br /> USE ONLY I. ' <br /> —..___.__ <br /> DATE RECEIVED 1 CHECK APPROPRIATE BOX <br /> SOLID -OBJECT TO <br /> t ( CONCUR WITH PROPOSED PT5RMrTEl <br /> WASTE f 1-.J PROPOSED PERMIT AGENCY DENIAL UPHELD <br /> IJ <br /> MANAGEMENT I - <br /> BOARD <br /> ? �S__IGN_ATU_._: <br /> RE <br /> VSE ONLY TITLE AND PRINTED NAME DATE ANTELE PH ONE:NO. <br /> i i D <br />