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STATE OF CALIFORNIA <br />CALIFORNIA INTEGRATED WASTE MANAGEMENT BOAR <br />REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FACILITY PERMITMASTE DISCHARGE REQUIREMENTS <br />CIWMa 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: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />- D <br />3/.s/®.3 <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />O® <br />INCOMPLETE <br />APPLICATION: <br />DATE DUE: <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: B. COUNTY: <br />County of San Joaquin, Environmental Health Department San Joaquin <br />C. TYPE OF AP LI A ION (CMeCk one box only): <br />1. NEW SWFP and/or WDRS 04. PERMIT REVIEW <br />x]2. REVISION OF SWFP and/or WDRS 05. AMENDMENT OF APPLICATION <br />03. EXEMPTION and/or WAIVER 5. RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />Material Recovery 8r Transfer Station <br />30703 S. Macarthur Drive, Tracy, CA 95376 <br />2. LATITUDEAND LONGITUDE: <br />Lat 37.67803 North, Long -121.41618 West <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: <br />n/a <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />❑1. DISPOSAL r-13. TRANSFORMATION7715. OTHER (describe): Cannery Waste <br />a. TYPE: <br />®2. COMPOSTING ®4. TRANSFER/PROCESSING FACILITY <br />Green Waste/ X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />a. TYPE: Food Waste <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />®1. FACILITY IS IDENTIFIED IN (Check one): <br />FE SITING ELEMENT DATE OF DOCUMENT Mar -97 PAGE # <br />❑ NONDISPOSAL FACILITY El DATE OF DOCUMENT PAGE # <br />02. 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 />X11. AGRICULTURALXa6. CONSTRUCTION/DEMOLITION ❑11. LIQUIDS <br />D2. ASBESTOS ❑ Friable ❑ Non -friable F-17. CONTAMINATED SOILS X112. MIXED/MUNICIPAL SOLID WASTE <br />®3. ASH ®8. DEAD ANIMALS ®13. SEWAGE SLUDGE <br />F-14. AUTO SHREDDER X39. INDUSTRIAL ®14. TIRES <br />E110. INERT X115. OTHER (describe): Appliances, u -waste, a -waste <br />X�5. COMPOSTABLE MATERIAL (describe): Green Waste, Food Waste <br />Page 1 <br />