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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)iMITIGATED 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 />®CATEGORICAL/STATUTORY EXEMPTION (CEISE) <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 />®RFIlJTD JTD (Updated 2014) <br />®LOCAL USEIPLANNING PERMITS See Appendx B of JTD <br />®LOCATION MAP See Drawing 1 of JTD <br />®MfrIGATION MONITORING IMPLEMENTATION SCHEDULE <br />® ENVIRONMENTAL DOCUMENT(S): <br />X EIR SCH# 2001052081 (NOD filed April 2003) <br />X MND/ND;. SCH# 2010112045 (Cert. January 2011) <br />December2002 ❑ EXEMPTION <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM— May 2008 ®FINANCIAL RESPONSIBILITY DOCUMENTATION June 2013 <br />[Z]CLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS (see instructions): 201 <br />X PRELIMINARY See Appendix A of JTD (2013) <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE ®DEPT. OF HEALTH SERVICES PERMIT <br />CONTRACT AGREEMENTS ®SWAT (Air and water) <br />Fj STORMWATER PERMIT APPLICATION ❑ WETLANDS PERMITS <br />RNPDES PERMIT APPLICATION ❑VERIFICATION OF FIRE DISTRICT COMPLIANCE <br />OTHER <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 <br />OWNER(S) OF LAND <br />(Name): <br />Forward, Inc. <br />ADDRESS, CITY, STATE, ZIP <br />9999 S. Austin Road, Manteca, CA 95336 <br />TX CORPORATION ❑GOVERNMENTAGENCY <br />SSN OR TAX ID # <br />941544481 <br />TELEPHONE #: <br />rn <br />0• *. 11t• <br />EFanning@republicservices.com <br />Erin Fanning <br />Page 3 <br />