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Part 5. COMPLIANCE WITH CALIFORNIA E ONMENTAL QUALITY ACT (CEQA) (Chec 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# 2006062113 (December 5, 2006) <br />®NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# SCH #92082082 (October 1992, ) <br />®ADDENDUM TO (Identify environmental document) SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: EIR Was prepared <br />®CATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />GUIDELINE # <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: ®ENVIRONMENTAL DOCUMENT(S): <br />®RFI/JTD 10 -Jan -10 ® ❑O EIR <br />®LOCAL USE/PLANNING PERMITS UP -89-2 (6/1/89) SCH #88060714 (March 1989) for initial siting <br />SCH #2006062113 December 5, 2006 (for permit revision) <br />®LOCATION MAP ❑ MND/ND NA <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE ❑ EXEMPTION NA <br />Screening vegetation must be planted within one year of approval of this project <br />❑ ADDENDUM <br />NA <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM_ Self -Insurance ®FINANCIAL RESPONSIBILITY DOCUMENTATION Per JTD, initial issue Sept 9, 2008 <br />®CLOSURE/POST CLOSURE MAINTENANCE PLAN (in JTD) ®LANDFILL CAPACITY SURVEY RESULTS (see instructions) 1 -Mar -09 <br />®PRELIMINARY 7 -Jan -10 Attached <br />❑ FINAL <br />C. IF APPLICABLE: <br />®REPORT OF WASTE DISCHARGE 115-2010-0016 of 1-29-2010 <br />CONTRACT AGREEMENTS <br />MX STORMWATER PERMIT APPLICATION WDID #5S39I005571 <br />SIC 4953 Processed 7 -Apr -92 <br />NPDES PERMIT APPLICATION <br />®OTHER APCD Permits N-1119 <br />F-1 DEPT. OF HEALTH SERVICES PERMIT <br />SWAT (Air and water) <br />®WETLANDS PERMITS # 26 National permit May 1990 <br />(Per Corps of Eng 2/26/1990 <br />®VERIFICATION OF FIRE DISTRICT COMPLIANCE Current permit 08-006 <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 CORPORATION <br />OWNER(S) OF LAND County of San Joaquin <br />(Name): <br />County of San Joaquin, Public Works De <br />ADDRESS, CITY, STATE, ZIP <br />San Joaquin County <br />Department of Public Works <br />Attention Solid Waste Division <br />1810 East Hazelton Ave. <br />Stockton CA 95205 <br />®GOVERNMENT AGENCY <br />SSN OR TAX ID # 6800-14563 <br />TELEPHONE #: <br />209-468-3066 (Solid Waste Division) <br />FAX #: <br />209-468-3078 (Solid Waste Division) _ <br />E-MAIL ADDRESS: <br />mcarroll@sjgov.org <br />CONTACT PERSON (Print Name): <br />W. Michael Carroll <br />Page 3 <br />