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Part 5.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# 2001052081 <br /> NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND) <br /> ADDENDUM TO(Identify environmental document): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> r__JCATEGORICAUSTATUTORY 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 Amendment No.2-May 200E MENVIRONMENTAL DOCUMENT(S): <br /> QLOCAL USE/PLANNING PERMITS April 2003 l7 EIR SCH#2001052081 Dated December 2002 <br /> ®LOCATION MAP Included as Drawing 1 of June 2003 JTL ❑MND/ND <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE December 200: 0 EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM:1/1/2008-1/l/200<. ®FINANCIAL RESPONSIBILITY DOCUMENTATION:Letter from CIWMB,dated 9/6/07 <br /> For period of 6/1/07 through 6/1/08 <br /> CLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions) February 2007 <br /> ® <br /> PRELIMINARY: Amendment No.3:July 2008 FINAL <br /> Amendment No.4:July 2008 <br /> C. IF APPLICABLE: <br /> ❑REPORT OF WASTE DISCHARGE MDEPT.OF HEALTH SERVICES PERMIT <br /> tSONTRACT AGREEMENTS ®SWAT(Air and water) <br /> TORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> ®NPDES PERMIT APPLICATION ®OTHER:WDR Order No.R5-2003-0049;SJVAPCD Permit No.N-339-17-10(5/14/07); <br /> SJVAPCD Permit No.N-339-17-11(8/14/07);SJVAPCD Facility No.N-339-0-1 <br /> VERIFICATION OF FIRE DISTRICT COMPLIANCE (Permit copies included as Attachment A-2) <br /> Part 7.OWNER INFORMATION (For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ®SOLE PROPRIETORSHIP ®PARTNERSHIP OCORPORATION OGOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> Forward Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE#:(209)982-4298 <br /> FAX#: (209)982-1009 <br /> E-MAIL ADDRESS:Kevin.Basso@awin.com <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> Page 3 <br /> I <br />