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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# 9209072 2/94 <br />ONEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />OADDENDUM TO (Identify environmental document) SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />F]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: <br />®RFI/JTD TPR -Dated 01-2005 FA' #0001434i'Amendments 3/05MENVIRONMENTAL DOCUMENT(S): <br />MLOCALUSE/PLANNING PERMITS UP -93-2 10/93 )bEIR SCH 49209072 2/94 <br />LOCATION MAP ❑ MND/ND <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE 7/6/93 ❑ EXEMPTION <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />OPERATING LIABILITY FINANCIAL MECHANISM <br />❑CLOSURE/POST CLOSURE MAINTENANCE PLAN <br />❑ PRELIMINARY' " <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTEDISCHARGE <br />OCONTRACT AGREEMENTS <br />r—jSTORMWATER PERMIT APPLICATION <br />r-1NPDES PERMIT APPLICATION. <br />_. <br />❑ ADDENDUM <br />FINANCIAL RESPONSIBILITY DOCUMENTATION <br />LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />®DEPT. OF HEALTH SERVICES PERMIT <br />❑ SWAT (Air and water) <br />f—IWETLANDS PERMITS <br />VERIFICATION OF FIRE DISTRICT COMPLIANCE <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 EIPARTNERSHIP FICORPORATION <br />OWNER(S) OF LAND <br />(Name): San Joaquin County <br />Department of Public Works- Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP <br />Post Office Box 1810 <br />Stockton, California 95201 <br />®GOVERNMENTAGENCY <br />SSN OR TAX ID # <br />6800-14563 <br />ELEPHONE #: <br />209 - 468-3066 <br />209 - 468-3078 <br />DReno@sjgov.org <br />Desi Reno <br />Page 3 <br />