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NA ME OF FACILITY <br />(213 )486-7791 <br />TELEPHONE • <br />0. TYPE OF BUSINESS OPERATING FACILITY <br />El Sole Proprietorship n Partnership <br />E. NAME OF OWNER(S) OF BUSINESS OPERATING FACILITY TELEPHONE • <br />AoORS•11 <br />n Corporation n Government Agency <br />95234 TELEPH ONE NAME OF LEGAL OWNER OF FACILITY <br />Southern Pacific Pipe Lines, Inc. <br />888 South Figueroa Street <br />cooa <br />90017 <br />ZIS COOC <br />NAME OF BUSINESS OPERATING FACILITY <br />same <br />AO ..... <br />same <br />SIP COOC <br />Holt Recovery Project <br />AotHel 5s <br />Cook Rd. N/o Hwy. No. 4 <br />TELEPHONE <br />1 N/A <br />ADDRESS INNERS! LEGAL NOTICE MAY ISE <br />II. REASON FOR FILING <br />CHECK ALL <br /> <br /> <br /> <br />r APPROPRIATE: New discharge or facility <br />Existing discharge or facility <br />Increase in quantity of discharge <br /> <br /> <br /> <br />Change in character of discharge <br />Change in place or method of disposal <br />Change in design or operation <br /> <br /> <br />ZIP COOK <br />Change in business operating facility <br />Enlargement of existing facility <br />Other (explain below) <br />III. TYPE OF OPERATION <br />CHECK ALL APPROPRIATE: <br /> <br />POPULATION OR CAPACITY O. CICSIGN POPULATION OR ULTIMATE CAPACITY <br />N/A N/A <br />_ _------ <br />C. LIFE EXPECTANCY <br />N/A <br /> <br />IV. TYPE OF WASTE <br />CHECK ALL APPROPRIATE: <br />A. Sewage, sewage sludge, and/or <br />septic tank pumpings E. Agricultural wastes <br />B. Industrial wastes F. Animal wastes J. <br />C. Municipal solid wastes G. Forest product wastes K. <br />D. Hazardous wastes H. Construction/demolition wastes L. <br />Inert materials <br />Dead animals <br />Tires <br />Other (explain below) <br />water <br />V. SITE DESIGN CAPACITY <br />TATE OF CALIFORNIA <br /> <br />REGIONAL WATER QUALITY CONTROL BOARD <br />DEPARTMENT OF HEALTH SERVICES <br />SOLID WASTE MANAGEMENT BOARD <br />DEPARTMENT OF FORESTRY <br />APPLICATION FOR <br />FACILITY PERMIT/WASTE DISCHARGE <br />This form is to he used for filing a/an: (check all appropriate) <br />I REPORT OF WASTE DISCHARGE <br />(pursuant to Division 7 of the State Water Code) <br />H APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT <br />(pursuant to Health and Safety Code Section 25200) <br />L APPLICATION FOR A SOLID WASTE FACILITIES PERMIT <br />_ (pursuant to Government Code Section 66796.30) <br />APPLICATION FOR A RUBBISH DUMP PERMIT <br />(pursuant to Public Resources Code Sections 4371-4375 arid 4438) <br />FOR OFFICE USE ONLY <br />Form 200 Recd <br />Fee (RWQCB) (SWMB) <br />Letter to Discharger -- <br />Report Reed <br />Effective Date <br />CDF Notified <br />DOHS No. <br />SWMB No.___._ <br />I. FACILITY <br />.Transfer station <br />Solid waste disposal site <br />Hazardous waste disposal site <br />Sewage treatment <br />Industry (on-site disposal facility) <br />Industry (discharge to sewer) <br />Woodwaste site <br />Other (explain below) <br />Ground water treatment <br /> <br /> <br /> <br /> <br /> <br /> <br />room. zoo (REV. 5/60) (OVER)