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Part 5.COMPLIANCE WITH CALIFORNIA EIWONMENTAL QUALITY ACT(CEQA)(Chec livable boxes) <br /> A. CHECK BOXES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> FLIENVIRONMENTAL IMPACT REPORT(EIR)SCH# SCH#93042093 <br /> XXNEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#96102011 <br /> ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> X�CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE Categorical Exemption GUIDELINE#Existing Facility-Section 15301-Class 1(a) <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> F�RFIMTD 12/93,Amendments to RFI 09/96, 12/04,08/06 ENVIRONMENTAL DOCUMENT(S): <br /> X❑LOCAL USE/PLANNING PERMITS UP-93-41 X EIR SCH#93042093 <br /> X❑LOCATION MAP Figures, RFI Amendment 08/06 ❑MND/ND SCH#96102011 <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE X Exemption NOE July 5,2006 <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM_ n/a ®FINANCIAL RESPONSIBILITY DOCUMENTATION Na <br /> ❑CLOSURE/POST CLOSURE MAINTENANCE PLAN n/a ®LANDFILL CAPACITY SURVEY RESULTS(see instructions) n/a <br /> ❑ PRELIMINARY <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> X❑REPORT OF WASTE DISCHARGE Waiver,3/94 ®DEPT.OF HEALTH SERVICES PERMIT <br /> ®CONTRACT AGREEMENTS ®SWAT(Air and water) <br /> r-�STORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> ®NPDES PERMIT APPLICATION ❑VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> OTHER APCD Permit to Construct#N-3187-4-0 <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 ®PARTNERSHIP El CORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Mike Re etto #680293953 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> Tracy Material Recovery and Transfer Facility (209)835-0601 <br /> 60 E. 11th Street,Tracy CA 95376 <br /> FAX#: <br /> (209)836-7729 <br /> E-MAIL ADDRESS: <br /> mike dswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> Page 4 <br />