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0 <br />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 />QENVIRONMENTAL IMPACT REPORT (EIR) SCH# SCH#93042093 <br />X❑NEGATIVE DECLARATION (ND)IMITIGATED NEGATIVE DECLARATION (MND) SCH# <br />OADDENDUM TO (Identify environmental document) <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />aCATEGORICAUSTATUTORY EXEMPTION (CEISE) <br />EXEMPTION TYPE GUIDELINE # <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />Ate. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />IX IRFIIJTD May 2013 <br />X❑LOCALUSE/PLANNING PERMITS UP -93-41, PA -0800005 <br />RELOCATION MAP May 2013 <br />FIMITIGAT10N MONITORING IMPLEMENTATION SCHEDULE <br />SCH#2011102013 <br />SCH# <br />XENVIRONMENTAL DOCUMENT(S): <br />X EIR SCH#93042093 <br />x SCH#2011102013 <br />X Exemption . NOE July 5, 2006 <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />F-JOPERATING LIABILITY FINANCIAL MECHANISM_ n/a FINANCIAL RESPONSIBILITY DOCUMENTATION Na <br />F—JCLOSURE/POST CLOSURE MAINTENANCE PLAN n1a MLANDFILL CAPACITY SURVEY RESULTS (see instructions) n/a <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICABLE: <br />®REPORT OF WASTE DISCHARGE <br />®CONTRACT AGREEMENTS <br />❑STORMWATER PERMITAPPucATION <br />F�NPDES PERMIT APPLICATION <br />Waiver, 3194 <br />aoTHER APCD Permit to Construct #N-3187-4-0 <br />DEPT. OF HEALTH SERVICES PERMIT <br />®SWAT (Air and water) <br />[—]WETLANDS 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 />SOLE PROPRIETORSHIP PARTNERSHIPX❑CORPORATION <br />OWNER(S) OF LAND <br />(Name): <br />Mike Repetto <br />ADDRESS, CITY, STATE, 7JP <br />Tracy Material Recovery and Transfer Facility <br />30703 S. MacArthur Drive Tracy CA 95376 <br />GOVERNMENT AGENCY <br />SSN OR TAX ID # <br />rELEPHONE #: <br />(209) 835- 0601 <br />(209) 835- 7729 <br />(Print <br />Page 3 <br />