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4. <br /> r T •, <br /> STATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT BOARD <br /> i DEPARTMENT OF FORESTRY t <br /> APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This form is to be used for filing a/an: (check all appropriate) FOR OFFJOE USONLY <br /> 1. REPORT OF WASTE DISCHARGE Form 200 Recd _ <br /> (pursuant to Division 7 of the State Water Code) Fee(RWOCB) _(SWMB)� _ <br /> 2. APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter w Discharger <br /> (pursuant to Health and Salety Code Section 25200) <br /> 3. APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Report Recd <br /> (pursuant to Government Cote Section 66796,301 Effective Date <br /> 4. APPLICATION FOR A RUBBISH DUMP PERMIT CDF Notified <br /> (pursuant to Public Resources Code Sections 4371-4375 and 4438) DOHS No._ <br /> __-• SWMB No. <br /> 1. FACILITY <br /> A. NAMS OF FACILITY <br /> ' T•KweloNn • <br /> Foothill Sanitary Landfill ( 209 ) 887-3969 <br /> Aap.Ase — <br /> Oa <br /> CO <br /> 6484 North Waverly Road, Linden, CA 95SI,P co <br /> Y. NAME OP LRGAL..nmri OF LI <br /> FACITY <br /> 4aLSPNONa• <br /> 236 <br /> SIP CODS <br /> 2—NA/Aa OP®ualNaas oFaNATINO FACILITY <br /> 4SK/Np'un• <br /> Foothill Sanitary Landfill Inc. <br /> ;Damage f209 466-5086 <br /> SIP CODS <br /> P.O. Box 1528, Stockton, CA 95201 <br /> O. Tyra OF 0Ya1NBSa OPBRAT6N6 FACILITY <br /> Sola Propriatorship ® Partnership ® Corporation ® Government Agency <br /> a. NANa OF OWNaR a OF se"lNBaa OPMRATIN4 FACILITY <br /> TSK PNONn <br /> Nomellini Construction Co. Inc. O <br /> t <br /> Aa®mase WNama LaOAL NOTICa NAT as Ounvan <br /> new coon <br /> 939 West Charter Way, Stockton CA 95206 <br /> 11G <br /> CHECK ALL API;OIm/ATa: . RCASON FOR FILAN/ <br /> A. New discharge or facility D. Change in character of discharge G. Change in business operating facility <br /> e. Existing discharge or facility E. in place or method of disposal H. Enlargement of existing facility <br /> C. increase in quantity of discharge F. Change in design or operation I. X Other(explain below) <br /> Permit Review as requested by California Waste Management Board <br /> 116. TYPa Of o'e:RATION <br /> CHUCK ALL APPROPmIATnl <br /> A. Transfer station D. Sewage treatment G. Woodwaste site <br /> B. Solid waste disposal site <br /> .E. Industry(on-site disposal facility) H.® Other(explain below) <br /> C. Hazardous waste disposal site F. Industry(discharge to sewer) <br /> CHUCK ALIV. TYPB of WASTC <br /> L AP►mpwplATa: <br /> A. Sewage,sewage sludge,and/or <br /> septic tank pufnpings E. X Agricultural Wastes 1. X Inert materials <br /> S. X Industrial wastes F. Animal wastes <br /> J. Deed animals <br /> C. Municipal solid wastes G. X Forest product wastes <br /> D. Hazardous wastesK. X Tires <br /> N. X Construction/demolition wastes L. X Other(explain below) <br /> Infectious Waste <br /> V. sere:D681GN CAPACITY <br /> A PRwf SNT POPYLATIOm pp CAPACITT <br /> • Oae!aN POPYLATION Ow YLTINATO CAPACITTSn►aCTAwGT tlnAwe <br /> S rdY§`Y Ydhktr &'ar a <br /> 4,000,000.:In place` CY - 59,000`,OOQ .ie <br /> In place Cf 85 <br /> FORM ZOO (Ra V.O/e0) <br /> rovsJ:J <br />