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State of t.:amorma solid Waste information Nystem s w 1 Department of Resources Recycling CalRecycle 37(Rev.12/17) and Recovery(CalRecycle) Facility/Site/Operation Data Entry Form [:]*** New SWIS NumberR] Update information(*❑ )ElChange in address or phone#sE]Request to Archive CALRECYCLE USE ONLY=Facility/Site/Operation SWIS Number 39 _CR _33 /LEA - ❑* Facility Locator Information see: Minimum Data Required to Issue New SWIS Number Facility/Site Name:World Enterprises Facility/Site Location/Address:E.Side of Turnpike Rd.,700 ft of Dow Nearest City/Place Name:Stockton County:San Joaquin State CA Zip:95201 _ Facility locator info: Decimal Degrees= Longitude: - ❑ ❑ ❑ . ❑ ❑ ❑ ❑ ❑ Latitude ❑ ❑ . 1111 ❑ ❑ ❑ -or- Degrees, Minutes,and Seconds: Long:- Lat: Assessor Parcel Number(s):175170180 and 175170190 Map#: Section: Township: Range: Base/Meridian: ❑* Operator (Business Owner)Information Person/Operator Name/Company Name: Last Name: First Name: MI: Title: Organization: Mailing Address: City: State: Zip: ❑ ❑ ❑ ❑ ❑— 1111 ❑ ❑ Phone Number: ( ) ❑ ❑ ❑- ❑ ❑ ❑ ❑ FAX: ( ) ❑ ❑ ❑- 1111 ❑ ❑ E-Mail Address: ®* Land Owners [Property Owners lInformation Person/Operator Name/Company Name: Last Name:Singh First Name:Manpreet MI: Title: Organization: Mailing Address:133 Ash Renee St City:Manteca State:CA Zip: 9 ❑5 ❑3 ❑77❑_ ❑ ❑ ❑ ❑ Phone Number: (925 ) © �- ® ❑3 0 FAX: ( ) ❑ ❑ ❑- [111E] EI Email Address: ***Required Signature foor�,(ubmittal CalRecycle with supporting documents and maps: LEA or Operator or Owner signature: X /'"`^�!Y ePhone:(209)468-0338 Date:05/28/2024 ❑Supporting documents attached ❑Maps attached ❑All signatures and dates present on documents See :http://www.calreeve]e.ca.gov/SWFacilities/Directory/MinimumData.asnx ------------------------------------------------------------------------------------------------- ----------------- ❑* Facility/Site/Unit: Characteristics/Specifications: Unit Activity(s)name(s)and Code#: (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 ❑✓Closed EA Notification date: ❑Excluded ❑✓ 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