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IV ENVIRONME c IMPACT REPORT(EIR) <br /> HAS AN EIR BEEN PREPARED FOR THIS PROJECT? ®YES x❑NO <br /> IF"YES". PLEASE ENCLOSE A COPY ®YES ®NO <br /> IF"NO",WILL AN EIR BE PREPARED? ®YES QNO <br /> WILL A NEGATIVE DECLARATION(ND)BE PREPARED? x❑YES Already prepared ®NO <br /> IF"YES",PLEASE ANSWER THE FOLLOWING: 20-Dec-% <br /> WHO WILL PREPARE THE ND? <br /> APPROXIMATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATING FACILITY: <br /> SOLE PROPRIETORSHIP ®PARTNERSHIP xx CORPORATION ®GOVERNMENT AGENCY <br /> V.OPERATOR OWNER OF LAND ADDRESS:1333 E.Truner Rd Lodi.CA 95241 TELEPHONE#: ISSN OR TAX ID# <br /> INFORMATION (Name): USA Waste of California (209)369-6894 <br /> For land disposal, dba Central Valley Waste Services <br /> It operator Is FACILITY OPERATOR ADDRESS: TELEPHONE#: SSN OR TAX ID#: <br /> different from (Name): <br /> land owner,attach <br /> lease or franchise ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> reern <br /> 1 hereby acknowledge that I have read this application and the Report of Facility Information,if applicable,JTD or ROWD and certify that the <br /> information given is true and accurate to the best of my knowledge and belief. in operating the solid waste facility,I agree to comply with the <br /> conditions of the permit and with federal,state,and local enactments. <br /> SIGNATOR DOWN ORA SIGNATUR CILITY OP ATOR AGENT): <br /> TYPED N TYPED NA <br /> Alex uero Alex Os vera <br /> TITLE:Waste Management DATE: TITLE:Waste Management DATE: <br /> District Man er 4/25/2002 District Manager 4/25/2002 <br /> VI.LIST OF ATTACHMENTS(CHECK IF APPLICABLE): <br /> ❑REPORT OF FACILITY INFORMATION ®OPERATING LIABILITY FINANCIAL MECHANISM <br /> ®REPORT OF WASTE DISCHARGE ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®JTD(RDSI/ROWD) ®FINAL CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®CONTRACT AGREEMENTS ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®DEPARTMENT OF HEALTH SERVICES PERMIT ®OTHER REGULATORY AGENCY PERMITS <br /> ®LOCAL USE/PLANNING PERMITS aOTHER_Report of Station Information <br /> ®CERTIFIED ENVIRONMENTAL REVIEW REPORTS(CEQA) <br /> ®INFORMATION ON THE STATUS OF THE APPLICANT'S COMPLIANCE WITH CEQA REQUIREMENTS REGARDING <br /> THE PROPOSED PROJECT. <br /> ®EVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CEQA PRC,DIVISION 13,2100 et.sec <br /> version 4-6/96 <br />