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STATE OF CALIFORNIA <br /> CALIFORNIA MTEGRATED WASTE MANAGEMENT BOARD 0 <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE 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 /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> 'i r APPLICATION: <br /> tLL. G, b DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Environmental Health Department San Joaquin <br /> U. PE OF AP LI ATI N(Uneck one box only): <br /> 1. NEW SWFP and/or WDRS R4.PERMIT REVIEW <br /> 5. REVISION OF SWFP and/or WDRS 5 AMENDMENT OF APPLICATION <br /> 113. EXEMPTION and/or WAIVER 06.RFI/ROWD/JTD AMENDMENTS <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Central Valley Waste Services <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 1333 East Turner Road, P.O. Box 241001, Lodi,CA 95241 <br /> 2. LATITUDE AND LONGITUDE: <br /> N 38 degrees 08'41" W 12 degrees 15' 11" <br /> 3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> CA Northeast quarter of Section 6 T3N R7E EMDB&M;Southeast quarter of Section 31 T4N R7E EMDB&M; Northeast quarter of the <br /> northwest quarter of Section 6 T3N R7E EMDB&M <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> r-11.DISPOSAL O3.TRANSFORMATION 1:15.OTHER(describe): <br /> a. TYPE: <br /> M2.COMPOSTING -14.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> 1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT PAGE# <br /> [-�NONDISPOSAL FACILITY EL DATE OF DOCUMENT PAGE# <br /> F-12.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 /> rx-�1.AGRICULTURAL xn6.CONSTRUCTION/DEMOLITION [-]11.LIQUIDS <br /> M2.ASBESTOS p Friable ❑Non-friable F-17.CONTAMINATED SOILS 012.MIXED/MUNICIPAL SOLID WASTE <br /> ❑3.ASH F-18.DEAD ANIMALS 013.SEWAGE SLUDGE <br /> F-14.AUTO SHREDDER F-19.INDUSTRIAL F-114.TIRES <br /> F-110.INERT 015.OTHER(describe): <br /> M5.COMPOSTABLE MATERIAL(describe): <br /> Page 1 <br />