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IV ENVIRONMENTAL IMPACT REPORT(EIR) <br /> HAS AN EIR BEEN PREPARED FOR THIS PROJECT? YES [DNO <br /> IF"YES", PLEASE ENCLOSE A COPY []YES MNO <br /> IF'NO-,WILL AN EIR BE PREPARED? YES X❑NO <br /> WILL A NEGATIVE DECLARATION(ND)BE PREPARED? YES [DNO <br /> IF"YES-,PLEASE ANSWER THE FOLLOWING: <br /> WHO WILL PREPARE THE ND? <br /> APPROXIMATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATING FACILITY: <br /> SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> V.OPERATOR OWNER OF LAND ADDRESS: TELEPHONE#: SSN OR TAX ID# <br /> INFORMATION (Name): San Joaquin P.O.Box 1810 (209)468-3066 <br /> For land disposal, County Stockton,CA 95201 <br /> if operator is FACILITY OPERATOR ADDRESS: TELEPHONE#: SSN OR TAX ID#: <br /> different from (Name): San Joaquin P.O. Box 1810 (209)468-3066 <br /> land owner,attach County-Solid Waste IStockton,CA 95201 <br /> lease or franchise ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> agreement. P.O.Box 1810,Stockton,CA 95201 <br /> ere y ac now edge a have read is application an a epo oFacility norma Ion, I app Ica e, or an certI a e <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 enactment's. <br /> SIGNATURE(LAND OWNER AGENT): SIGNATURE(FACILITY OPERATOR OR AGENT): <br /> TYPED NAME: TYPED NAME: <br /> Tom Horton Tom Horton <br /> TITLE: DATE: TITLE: DATE: <br /> Integrated Waste Manager 3/23/01 Integrated Waste Manager 3/23/01 <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) (amenclea) FINAL CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> CONTRACT AGREEMENTS FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> Fj DEPARTMENT OF HEALTH SERVICES PERMIT OTHER REGULATORY AGENCY PERMITS <br /> LOCAL USE/PLANNING PERMITS OTHER <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 />