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STATEOF CALIFORNIA . <br />G�LIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br />REGIONAL %A!"ATER QUALITY CONTROL BOARD <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 />SWIS NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />/ <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <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. I YPE OF APPLICATION (Cheek one box only): <br />1. NEW SWFP and/or WDRS "PERMIT REVIEW <br />X 2. REVISION OF SWFP and/or WDRS 05. AMENDMENT OF APPLICATION <br />113. EXEMPTION and/or WAIVER 116. RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />Material Recovery & Transfer Station <br />OR <br />30703 S Macarthur Drive, Tracy, CA 95376 <br />2. LATITUDE AND 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 />nla <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />F-11. DISPOSAL E-13. TRANSFORMATION X❑5. OTHER (describe): Cannery Waste <br />a. TYPE: <br />©2. COMPOSTING Q4. TRANSFERIPROCESSING FACILITY <br />a. TYPE: Green Waste/Food I X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />X^1 1. FACILITY IS IDENTIFIED IN (Check one): <br />RDSITING ELEMENT DATE OF DOCUMENT Mar -97 PAGE # <br />F-1NONDISPOSAL 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 />[x-1 1. AGRICULTURAL -16. CONSTRUCTION/DEMOLITION [:J11. LIQUIDS <br />M2. ASBESTOS ❑ Friable ❑ Non -friable F-17. CONTAMINATED SOILS X❑12. MIXED/MUNICIPAL SOLID WASTE <br />F-13. ASH F-18. DEAD ANIMALS F�13. SEWAGE SLUDGE <br />F-14. AUTO SHREDDER FT -19. INDUSTRIAL X14. TIRES <br />1- -7110. X❑ 15. OTHER (describe): Appliances, u -waste, a -waste <br />-15. COMPOSTABLE MATERIAL (describe): Green Waste and Food Waste <br />Page 1 <br />