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State of California Solid Waste Information S stem (SWIS) Department of Resources Recycling CalRecycle 37(Rev.12/17) ` and Recovery(CalRecycle) Facility/Site/Operation Data Entry Form E:]*** New SWIS NumberE Update information(*❑ )LIChange in address or phone#Request to Archive CALRECYCLE USE ONLY=Facility/Site/Operation SWIS Number 39 _CR -5 /LEA ❑* Facility Locator Information see: Minimum Data Required to Issue New SWIS Number Facility/Site Name:F&N cattle co Facility/Site Location/Address:19051 S.McKinley Ave Nearest City/Place Name:Manteca County:San Joaquin State CA Zip:95336 Facility locator info: Decimal Degrees=Longitude: - ❑ ❑❑ . 111111 ❑ ❑ Latitude ❑ ❑ . ❑ ❑ ❑ ❑ ❑ -or- Degrees,Minutes,and Seconds: Long:- Lat: Assessor Parcel Number(s): Map#: Section: Township: Range: Base/Meridian: ✓❑* Operator(Business Owner)Information Person/Operator Name/Company Name: Last Name:Singh First Name:Varinder MI: Title: Organization:Varinder Singh ATNAL Mailing Address:P.O.Box 1169 City:Tracy State:CA Zip: 0 0 ©' ❑ ❑ ❑ ❑ Phone Number: (209 ) 20 ®- Qo ❑3 �i 0 FAX:( ) 0E10- ❑ ❑ 110 E-Mail Address: komal.atwal@gmail.com m* Land Owner(s) [Property Owner(s))Information Person/Operator Name/Company Name: Last Name:Singh First Name:Varinder MI: Title: Organization:Varinder Singh ATWAL Mailing Address:P.O.Box 1169 City:Tracy State:CA Zip: 9 9 A ❑7 ®— ❑ ❑ ❑ ❑ Phone Number: (209 ) ❑2 ❑9 ®- o❑ 0 1❑ ❑3 FAX: ( ) 1111 ❑- ❑ ❑ ❑ ❑ Email Address: komal.atwal@gmail.com ***Required Signature for submittal to CalRecycle with supporting documents and maps: LEA or Operator or Owner signature: X � Phone:(209)468-3854 Date: 12/27/2022 � ®Supporting documents attached ❑Maps attached ❑AII signatures and dates present on documents See http://www.caircevele.ca.eav/SWFacilitiesfDirectorv/MinimumDa(a.aspx ------------------------------------------------------------------------------------------------- ----------------- ❑* Facility/Site/Unit: Characteristics/Specifications: Unit Activity(s)name(s)and Cade#: (See back of this form for list of Activity types and codes) Check one each: Regulatory Status Operator Type operational status Inspection Frequency:Quarterly ❑Permitted ❑Federal ❑Planned Closure year(date): ✓❑Unpermitted ❑State ❑Active TonsNolume per Day: ❑Exempt [-]County ❑Inactive Permit Date: ❑EA Notification ❑City FAClosed EA Notification date: ❑Excluded ❑d Private ❑Clean Closed ❑Proposed ❑District ❑To be Determined List one or more Types of Waste to be received/permitted(see back of this form for list of waste types/code#) ***Required CalRecycle staff signature(Received and reviewed for completeness) by: Phone Date