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' FROM : isFAX NO. ear. 26 2007 10:33AM P5 <br />Part $$. COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA)(Ch9rk- applicable bo)(es) <br />A. CHECK BOXES) IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FUR "THIS PROJECT AND r'ROVIDF TIF. STATF cisARINGHOUSF NUMBER (SCHP): <br />UdyINVIRONMFPITAI IMPACTRrPORT .IR SCIIU nn ,n _ •, <br />t1S.1 <br />nNEGATIVE DFCI.ARATION (NOYMITIGATFD NFGATIVF DECLARATION (MND) SCI Iq <br />[:]ADDENDIIM TO (Idnnnry mAv mr M dnarmnnt) <br />8. IF ENVIRONMENTAL DOCUMENT($) WAS NOT PRFPARFD, PIAA;F. PROVIDF Tim FOLLOWING, INFORMATION: <br />MCATEGORICAUSTATUTORY EXEMPTION (Cris[) <br />EXEMPTION TYPE GUIDELINE 9 <br />Part S. LIST OF ATTACHMENTS (Fill iri the date for each docurrlerlt checked) <br />A. RRdUIRED WITH ALL APPLICATION SUBMITTALS: <br />[MRFIIJT(I TPR -Dated 01-2005 4 amendments 3/05[]FNVIRONMFNTALi=UMENI'(S): <br />(MLOCALUSE/PLANNING PERMR$ ,..UP.^93- 2 .1.0/9.3 aEIR SCH 192090722/94 <br />LOCATION MAP ❑ MND/ND <br />[]mmGATION MONITORING, IMPLFMFNTATIAN iRCI(F.rll11 F O EXEMPTION <br />TYPE OP BUSINESS., <br />r1 AhrIFNOLIM <br />B. ADbMNAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPFRAI ING LIABILITY FINANCIAL MECHANISM <br />QFINANCIAL RESPONSIBILITY DOCUMENTATION <br />1DCI.OSIIRFJP08T CLOTURE MAINTENANCE PLAN <br />❑LANDFILL C:AOACITY sURV[Y RESULT;, (,pe irdrurAWs) ' <br />❑ PREIJMWARY: <br />❑ rINAL <br />Department of Public Works- Solid Waste Division <br />C. IF APPLICA,BLE:.:.,::. <br />6800-14563 <br />•REPORT OF WA.STF 6IVHAA*. ' <br />®IJPPT, OF HEAL IH SERVICES VrRMIT ?" <br />.�. ... ... <br />.'[:]CONrRACIAGREEMENTS'. .......: ''..'. • <br />®SWAT(Alranewhttr) ...... <br />tTUhMWATCR`PCRMIT APPI.IC%17USN'.•`.: .': ° - ' <br />❑ WFTIAND.S i FRmrrS.......' <br />E:1NFUES PERMrr APPLICATION .' :":. ... . .':. <br />DwrtiricATION OF <br />" E]OTHER <br />e <br />Part 7. OWNER INFORMATION' (For disposal sito, it operator is ditforont from land ownef, attach lease or other agreement): <br />TYPE OP BUSINESS., <br />DOLEPROPRIFTOHSHIP 011ARINERSHIP E]CORPORATION <br />10GOVCRNMENTAGENCY <br />OWNER(S) OF LAND <br />SSN OR TAX ID p <br />(Naa„')' San Joaquin County <br />Department of Public Works- Solid Waste Division <br />6800-14563 <br />AWRESS, 01 Y, Is IATE, ZIP <br />TELEPI LONE 0: <br />Post Office Box 1810 <br />209- 468-3066 <br />Stockton, California 95201 <br />FAX P. <br />209, 468-3078 <br />E-MAIL ADDRESS: <br />DReno@Fsjgov.org <br />CONTACT PFRRON (Pent Namer <br />Desi Reno <br />P2ge 3 <br />