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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 />1 . ENVIRONMENTAL DOCUMENT WAS PREPARED: <br />ENVIRONMENTAL IMPACT REPORT (EIR) SCH# <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />ADDENDUM TO (Identify environment a l document) SCH# <br />2 . ENVIRONMENTAL DOCUMENT WILL BE PREPARED (Ent er l ead agency if known): <br />B . IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />CATEGORICAL/STATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE GUIDELINE # <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A . R E Q U IR E D W I T H A L L A P P L I C A TI O N S U B M I T T A L S : <br />RFI/JTD <br />LOCATION MAP <br />MITIGATION MONITORING & REPORTING PROGRAM <br />LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC <br />ENVIRONMENTAL DOCUMENT(S): <br />†EIR <br />†MND/ND <br />†EXEMPTION <br />†ADDENDUM <br />B .A D D I T I O N A L R E Q U I R E D D O C U M E N T S F O R D I S P O S A L F A C IL I T I E S O N L Y : <br />OPERATING LIABILITY FINANCIAL MECHANISM <br />CLOSURE/POST CLOSURE MAINTENANCE PLAN <br />PRELIMINARY <br />FINAL <br />FINANCIAL RESPONSIBILITY DOCUMENTATION <br />KNOWN OR REASONABLY FORSEEABLE CORRECTIVE ACTION COST ESTIMATES <br />† <br />†LANDFILL CAPACITY SURVEY RESULTS (see instructi <br />C .I F A P P L I C A B L E : <br />REPORT OF WASTE DISCHARGE <br />STORMWATER PERMIT APPLICATION <br />NPDES PERMIT APPLICATION <br />OTHER <br />DEPT. OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br />PROGRAM AGENCY PERMIT <br />SWAT (Air and wa t er) <br />WETLANDS PERMITS <br />VERIFICATION OF FIRE DISTRICT COMPLIANCE <br />Part 7. OWNER INFORMATION (For disposal sit e , if operat or is di fferent from l and owner, attach l ease or other agreement) <br />T Y P E O F B U S I N E S S : <br />S O L E P R O P R I E T O R S HIP P A R T N E R S HIP C O R P O R A T I O N G O V E R N M E N T A G E N C Y <br />O W N E R (S) O F L A N D <br />((N a m e ): <br />S S N O R T A X ID # <br />A D D R E S S , C I T Y , S T A T E , ZIP T E L E P H O N E #: <br />F A X #: <br />E -M A IL A D D R E S S : <br />C O N T A C T P E R S O N (P r i n t N a m e ): <br />Page 3 <br />95-O1ND-75100 (3/29/1995)✔ <br />01/05/2026✔ <br />01/01/2020✔ <br />09/03/2025✔ <br />✔ <br />09/02/2025✔ <br />09/03/2025✔ <br />08/28/2025 <br />✔ <br />09/05/2025✔ <br />09/03/2025✔ <br />✔ <br />County of San Joaquin, Public Works Department 946000531 <br />San Joaquin County <br />Department of Public Works <br />Attention: Solid Waste Division <br />1810 East Hazelton Ave. <br />Stockton, CA 95205 <br />2094683066 <br />2094683078 <br />mhoughton@sjgov.org <br />Mark Houghton