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1 <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: <br /> XI 1.ENVIRONMENTAL DOCUMENT WAS PREPARED: <br /> ElENVIRONMENTAL IMPACT REPORT(EIR)SCH# SCH#93042093 <br /> x] NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#2011102013 <br /> ADDENDUM TO(Identify environmental document) n1a SCH# <br /> F] 2.ENVIRONMENTAL DOCUMENT WILL BE PREPARED(Enter lead agency if known): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> ElRFI/JTD RFI-September 2023 El ENVIRONMENTALDOCUMENT(S): <br /> LOCATION MAP RFI-September 2023 ®EIR SCH#93042093.1211611993 <br /> 1-1 MITIGATION MONITORING 8 REPORTING PROGRAM Ed MND/ND SCH#2011102013.212112 <br /> LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC February 2,2012 ❑EXEMPTION <br /> July 24,2013 <br /> ❑ ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR DISPOSAL FACILITIES ONLY: <br /> F1 OPERATING LIABILITY FINANCIAL MECHAN n/a F1 FINANCIAL RESPONSIBILITY DOCUMENTATION n/a <br /> F1CLOSURE/POST CLOSURE MAINTENANCE PLP n1a I I KNOWN OR REASONABLY FORSEFABLE CORRECTIVE ACTION COST ESTIMATES <br /> n1a <br /> ❑PRELIMINARY <br /> ❑FINAL ❑ LANDFILL CAPACITY SURVEY RESULTS(ace inaWcli n1a - <br /> C. IF APPLICABLE: <br /> x1 REPORT OF WASTE DISCHARGE WQ 2015.0121-DWO F1 DEPT.OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br /> PROGRAM AGENCY PERMIT nia <br /> F1STORMWATER PERMIT APPLICATION We F1 SWAT(Ar and water) n1a <br /> F1NPDES PERMIT APPLICATION HIS F1 WETLANDS PERMITS n1a <br /> ROTHER APCD PTO#N-3187.4.0 F1 VERIFICATION OF FIRE DISTRICT COMPLIANCE n1a <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 /> 11 SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION GOVERNMENTAGENCY <br /> OWNERS)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Mike Repetto #680293953 SII <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> 30703 S. MacArthur Drive,Tracy, CA 95376 <br /> 209 835-0601 <br /> FAX#: <br /> (209)835-7729 <br /> E-MAIL ADDRESS: <br /> nn kerna tdswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> Page 3 <br /> I <br />