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Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQwheck 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)lMITIGATED NEGATIVE DECLARATION(MND) <br /> ®ADDENDUM TO(Identify environmental document): <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 /> �RFVJTD Amendment No.1-July 2005 ®ENVIRONMENTAL DOCUMENT(S): <br /> LOCAL USE/PLANNING PERMITS April 2003 IM EIR SCH#2001052081 Dated December 2002 <br /> ®LOCATION MAP Included as Drawing 1 of June 2003 JTD ❑MND/ND <br /> MITIGATION MONITORING IMPLEMENTATION SCHEDULE December 2002 O EXEMPTION <br /> 0 ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM May 27,2005 ®FINANCIAL RESPONSIBILITY DOCUMENTATION February 2005 <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions)July 2005 <br /> PRELIMINARY In App.L of JTD ®FINAL <br /> dated 5/2002 <br /> C. IF APPLICABLE: <br /> REPORT OF WASTE DISCHARGE DEPT.OF HEALTH SERVICES PERMIT <br /> M CONTRACT AGREEMENTS MSWAT(Air and water) <br /> ❑STORMWATER PERMIT APPLICATION WETLANDS PERMITS <br /> FINPDES PERMIT APPLICATION ❑OTHER <br /> F—IVERIFICATION OF FIRE DISTRICT COMPLIANCE <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 D✓CORPORATION ®GOVERNMENT 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: <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> Page 3 <br />