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STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD is <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE 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 /> WIS NUMBER: �7 FILING FEE: RECEIPT NUMBER: DATE RECEIV D. <br /> ATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> 71610 ? APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Environmental Health Department San Joaquin <br /> TYPE OF APPLICATION(Check one box only): <br /> f' <br /> 1. NEW SWFP and/or WDRS ®4.PERMIT REVIEW VV <br /> IU <br /> ®2. REVISION OF SWFP and/or WDRS 5.AMENDMENT OF APPLICATION <br /> AUG 2 7 2007 <br /> 1:13. EXEMPTION and/or WAIVER �6.RFI/ROWD/JTD AMENDMENTS ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Central Valley Waste Services-SWIS 39-AA-0017 <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 WE 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 /> 1711.DISPOSAL 1:1.TRANSFORMATION r-15.OTHER(describe): <br /> . a. TYPE: <br /> ®2.COMPOSTINGX❑4.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: O 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 /> x❑NONDISPOSAL FACILITY EL DATE OF DOCUMENT Apr-96 PAGE#47, Tabl( <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 /> Mill.AGRICULTURAL F-716.CONSTRUCTION/DEMOLITION F-1 11.LIQUIDS <br /> 1712.ASBESTOS ❑Friable ❑Non-friable F-17.CONTAMINATED SOILSX❑12.MIXED/MUNICIPAL SOLID WASTE <br /> 1:13.ASH F-18.DEAD ANIMALS ED13.SEWAGE SLUDGE <br /> 1--14.AUTO SHREDDER ®9.INDUSTRIAL FI14.TIRES <br /> 10.INERT F7115.OTHER(describe): <br /> ®5.COMPOSTABLE MATERIAL(describe): <br /> Page 1 <br />