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COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQA)(Check applicable boxes) <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> ®ENVIRONMENTAL IMPACT REPORT(EIR)SCH# 9209072 2/94 <br /> F-1 NEGATIVE DECLARATION(NDuMITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> QADDENDUM TO(Identity environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> ®CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> ®RFI/JTD TPR"-Dated,'01-2005'.FA,1#000114'14/,Amendments3/05`[2]ENVIRONMENTAL DOCUMENT(S): <br /> MLOCALUSE/PLANNING PERMITS UP-93-2 10/93 )t7EIR SCH #9209072 2/94 <br /> ffILOCATION MAP ❑MND/ND <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE 7/6/93 ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ❑OPERATING LIABILITY FINANCIAL MECHANISM D FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> DCLOSURE/POST CLOSURE MAINTENANCE PLAN LANDFILL CAPACITY SURVEY RESULTS(see instructions) <br /> ❑ PRELIMINARY <br /> ❑ FINAL <br /> (AMPPLICABLE: C - <br /> ORT OF WASTE DISCHARGE DEPT.OF HEALTH SERVICES PERMIT <br /> "❑CONTRACT AGREEMENTS SWAT(Air and water) <br /> F-JSTORMWATER PERMIT APPLICATION D WETLANDS PERMITS <br /> ONPDES PERMIT APPLICATION OVERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> F710THER - <br /> Part 7.OWNER INFORMATION (For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ®SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): San Joaquin County <br /> Department of Public Works— Solid Waste Division 6800-14563 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> Post Office Box 1810 209 - 468-3066 <br /> Stockton, California 95201 FAX#: <br /> 209 - 468-3078 <br /> E-MAIL ADDRESS: <br /> DReno@sjgov.org <br /> CONTACT PERSON(Print Name): <br /> Desi Reno <br /> Page 3 <br />