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Part 5. COMPLIANCE WITH CAL ENVIIMNMENTAL 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 February 1994 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />ADDENDUM TO (Identify environmental document) SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />F--JCATEGORICAL/STATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />®RFI/JTD TPR dated February16, 2010 <br />®LOCAL USE/PLANNING PERMITS UP -93-2 (Oct 1993) <br />®LOCATION MAP See TPR <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />GUIDELINE # <br />®ENVIRONMENTAL DOCUMENT(S): <br />o EIR SCH# 9209072 February 1994 <br />o MND/ND <br />6 -Jul -93 o EXEMPTION <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: NA - Not a landfill <br />OPERATING LIABILITY FINANCIAL MECHANISM FINANCIAL RESPONSIBILITY DOCUMENTATION <br />CLOSURE/POST CLOSURE MAINTENANCE PLAN LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE <br />CONTRACT AGREEMENTS <br />F-JSTORMWATER PERMIT APPLICATION <br />FINPDES PERMIT APPLICATION <br />F-JOTHER <br />NA <br />DEPT. OF HEALTH SERVICES PERMIT <br />SWAT (Air and water) <br />F-JWETLANDS PERMITS <br />VERIFICATION OF FIRE DISTRICT COMPLIANCE <br />Part 7. OWNER INFORMATION (For disposal site, if operator is different from landowner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />EISOLE PROPRIETORSHIP PARTNERSHIP El CORPORATION X❑GOVERNMENTAGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />San Joaquin County (Department of Public Works - Solid Waste Division) 6800-14563 <br />ADDRESS, CITY, STATE, ZIP TELEPHONE #: <br />PO Box 1810, Stockton CA 95201 209-468-3066 <br />FAX #: <br />209-468-3078 <br />daniohnsonnsi oq v.om <br />Dan Johnson <br />Page 3 <br />