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• 07!19/2002 10:14 7753292009 <br /> DISPOSAL MAINTENANCE fAbt U' <br /> nYES <br /> too <br /> IF'YES-. PLEASE ENCLOSE A COPY oyes 13NO <br /> IF'NO',WILL AN EIR BE PREPARED? EYES Already pfepared <br /> WILL A NEGATIVE DECLARATION(NO)BE PREPARED? tJ 2 -96 <br /> IF'YES.,PLEASE ANSWE.RTHE FOLLOWING: <br /> WHO WILL PREPARE THE NO? <br /> pPROXiMATE DATE OF COMPLETION: <br /> aGOvERNMENTAGENCY <br /> TYPE OP BUSINESS OPERATING FACILITY'-CORPORATION <br /> SOLE PROPRIETORSHIP PARTNERSHIP ® TELEPHONE t. SSN ORTAX 10# <br /> Q4YNER OF LAND ADDRESS:1333 E.Truner Rd <br /> Lodi.CR 95241 (2os)364-4a94 <br /> 1.OFEftAT®R USA Wast*of California <br /> NFORMATION Wagta S*rvieeS TELEPHONE SSN OR TAX ID <br /> dba Central Valley <br /> ;or land dispoSal, <br /> FACILITY PE OR ADDRESS: <br /> if operator is <br /> difi*rentfrom (Name): <br /> land owner,attach that the <br /> Iaase or franchise ADDRESS WH RE LEGAL NOTICE MAY BE SERVED' appliCable,J D or ROWO a Cert <br /> a re*meat 9901 and end the Repo <br /> R o aclllry i rmabon, 1 agree to Comply with the <br /> I hereby aCKtt ge that i have read this app knowledge and belief. In operating the solid was 1 <br /> information given is true 3 urate the best of my E <br /> eral,State.and local enaCtrnent s. SIGN (FACtLi f�1 O <br /> condition perm n ;" e <br /> SIGN A I,Arto OW o (�'_ <br /> TYPED NA <br /> PED Rnan Bowen DATE: <br /> 1i E:Waste Man 71110M2 <br /> 711002 <br /> Brian Bowen DATE: m Ilanoe <br /> TITLE Wast*Management 7tt0102 Genu Co <br /> Grott CpnlPlianee <br /> Vt.LIST OF ATTACHM@NTS(CHECK 1F APPLICABLE); ®OPERATING LIABILITY FINANCIAL MECHANISM <br /> ®REPORT OF FACILrfY INFORMATION <br /> ®PRELIMINARY CLOSURElpOSTCLO$URE MANtSfEcE P�N E P <br /> LAN <br /> REPORT OP WASTE DISCHARGE <br /> ®FINAL CLOSURE/P057CLOSURE MAINTENA <br /> U JTD(RDSIIROWD) FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> CONTRACT AGREEMENTS C]OTHER REGULATORY AGENCY PERMITS <br /> ®pEPARTMENT OF HEALTH SERVICES PERMIT � �mP�tn`o�n+atior+ <br /> x�OTHER,RePat Of <br /> ®LOCAL USEIPLANNING PERMITS <br /> ®CERTIFIED ENVIRONMENTAL REVIEW REPORTS(CEQA) <br /> INFORMATION ON THE STATUS OF THE <br /> APPLiCANrS COMPLIANCE WITH CE- REQUIREMENTS RE <br /> ® GARDING <br /> THE PROPOSED PROJECT. <br /> PLIANCE WITH CEQA PRC.DIVISION 13,2100 etsxc <br /> ®EVIOENCE THAT THERE HAS BEEN COM <br /> v*rston 4-6196 <br />