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State of California California Integrated Waste <br /> CIWMB 678(New 01/03)Continued Management Board <br /> #y. �r° 's a r tl ,=,,.» .:. r„y. ""ir,}S a ,n' rt;, £�l`Y .,M II lyre .; lI .«'ti ;..r,>”, ri r.:. <br /> VIII IV+{Ih9 <br /> ' �. a a II II „'``,,t17 d'.k ?,�'z .' Aryl N � �' X.,.' "���' z ,��� � � � x <br /> ISdM1! M I� y X <br /> .. � _ ...ra� ,�s. ..�.,h .. � ,ra,. xe�_ uuw� ,4 .� � � , ,. F ,,�� _ t.'4,� � 1I <br /> Permit Action Required: Documents to be Submitted: <br /> (Check One Box) (Check All Applicable Boxes) <br /> ® Submit Application for Permit Revision ® Updated RFI <br /> ❑ Permit Suspension ❑ Financial Assurances <br /> ❑ Permit Revocation ❑ CEQA Compliance <br /> ® Submit Application for RFI Amendment ❑ Preliminary Closure Plan <br /> ❑ Submit Owner/Operator Change Notification ❑ Final Closure Plan <br /> ❑ Other(specify below) ❑ Other(specify below) <br />