CORRESPONDENCE_2002-2005 - Laserfiche WebLink

Home Browse Search

�1" I IF"YES", PLEASE ENCLOSE A COP YES [:]NOIF"NO",WILL AN EIR BE PREPARE YES NO " WILL A NEGATIVE DECLARATION(NO)BE PREPARED? ®YES V1:jNO IF"YES",PLEASE ANSWER THE FOLLOWING: WHO WILL PREPARE THE ND? APPROXIMATE DATE OF COMPLETION: TYPE OF BUSINESS OPERATING FACILITY: F_jSOLE PROPRIETORSHIP [—]PARTNERSHIP x]CORPORATION GOVERNMENT AGENCY V.OPERATOR OWNER OF LAND ADDRESS:1333 E.Truner Rd Lodi.CA 95241 TELEPHONE#: ISSN OR TAX ID# INFORMATION (Name): USA Waste of California (209)369-6894 For land disposal, dba Central Valley Waste Services if operator is FACILITY OPERATOR ADDRESS: TELEPHONE M. SSN OR TAX ID#: different from (Name): land owner,attach lease or franchise ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: agreement. I hereby acknowledge that I have read this application and the Report of Facility In ormation,I applica le,JTD or R WD and certify that the 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 conditions of the permit and with federal,state,and local enactment's. 14 SIGNATURE(LAND OWNER OR AGENT): ''N URE(FA ILI O RATOR OR AGENT): TYPED NAME: TY D NAME: Luana A.Pinasco TITLE: DATE: TITLE:Waste Management DATE: Administration and Contracts Manage 3/8/2002 VI.LIST OF ATTACHMENTS(CHECK IF APPLICABLE): REPORT OF FACILITY INFORMATION ®OPERATING LIABILITY FINANCIAL MECHANISM REPORT OF WASTE DISCHARGE ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN F_jJTD(RDSI/ROWD) ®FINAL CLOSURE/POSTCLOSURE MAINTENANCE PLAN CONTRACT AGREEMENTS ®FINANCIAL RESPONSIBILITY DOCUMENTATION DEPARTMENT OF HEALTH SERVICES PERMIT ®OTHER REGULATORY AGENCY PERMITS LOCAL USE/PLANNING PERMITS x❑OTHER_Report of Station Information ❑CERTIFIED ENVIRONMENTAL REVIEW REPORTS(CEQA) INFORMATION ON THE STATUS OF THE APPLICANTS COMPLIANCE WITH CEQA REQUIREMENTS REGARDING THE PROPOSED PROJECT. EVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CEQA PRC,DIVISION 13,2100 et.sec version 4-6/96