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State of California qepartment of Resources Recycling CalRecycle 216 (Rev. 03/10) and Recovery(CalRecycle) IRRUE1 Amendment Determination Checklist Attached are the following items: Date of LEA received package: October 27,2010 ® JTD Index ® Application form ® A copy of the RFI Amendment Date LEA denied RFI Amendment: ❑ New CEQA documentation since the last permit was issued(including any exemptions) Date LEA accept RFI Amendment: November 8,2010 ❑ Other: The LEA determination should answer the following questions: 1)What are the changes covered by the RFI Amendment? Format, Tarps ADC, PCPCMP,Figures and Maps 2)Is the proposed change(s)consistent with CEQA? ® YES ❑NO What CEQA documents were used to determine this? Negative Declaration 4/28/1995 Has the LEA determined that the change would not create any adverse environmental impacts and is exempt from CEQA? ❑ YES ❑NO What exemption classification did the LEA or other lead agency use? 3)Does the proposed change impact the facility's ability to comply with financial assurances and operating liability? ❑ YES ®NO 4)Is the proposed change consistent with state minimum standards? ® YES ❑NO Will the change exacerbate any current compliance problems at the facility? ❑ YES ®NO Would implementation of the change effect the operator in complying with any enforcement order? ❑ YES ®NO 5)Does this change conflict with any part of the governing permit? ❑YES ®NO 7)Will the proposed change in the RFI Amendment require the operator to amend the closure post closure plan? ❑ YES ®NO 8)Any additional information required by the operator: Additional Information: The JTD includes an amendment to the PCPCMP *Completion of this form is not required by regulation, however, it will provide CalRecycle with the information required by 27 CCR 21665.