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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 /> ❑X NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# 2010112045 <br /> ®ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> F--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 JTD(Updated 2013) ❑X ENVIRONMENTAL DOCUMENT(S): <br /> ®LOCAL USE/PLANNING PERMITS See Appendix B of JTD X EIR SCH#2001052081(NOD filed April 2003) <br /> ®LOCATION MAP See Drawing 1 of JTD X MND/ND:SCH#2010112045(Cert.January 2011) <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE December 2002 ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM_ May 2008 rX FINANCIAL RESPONSIBILITY DOCUMENTATION June 2012 <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN [X LANDFILL CAPACITY SURVEY RESULTS(see instructions):March 2012 <br /> X PRELIMINARY See Appendix A of JTD(2013) <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> F-JREPORT OF WASTE DISCHARGE ❑DEPT.OF HEALTH SERVICES PERMIT <br /> CONTRACT AGREEMENTS SWAT(Air and water) <br /> F-1STORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> F�NPDES PERMIT APPLICATION VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> F-JOTHER <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 EX CORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Forward, Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> 209-982-4298 <br /> FAX#: <br /> 209-982-1009 <br /> 9999 S. Austin Road, Manteca, CA 95336 E-MAIL ADDRESS: <br /> EFanning@republicservices.com <br /> CONTACT PERSON(Print Name): <br /> Erin Fanning <br /> Page 3 <br />