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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 AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> ENVIRONMENTAL IMPACT REPORT(EIR)SCI <br /> NEGATIVE DECLARATION(NDYMITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> ADDENDUM TO(Identify emimn—tial durum SCH# <br /> B. IF ENVIRONMENTAL DOCUMENTS)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> �CATEGORICAUSTATUTORY EXEMPTION(CEISE) <br /> EXEMPTION T GUIDELINE# <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> RFI/JTD ENVIRONMENTAL DOCUMENT(S): <br /> LOCAL USE/PLANNING PERMITS ❑EIR <br /> LOCATION MAP ❑MND/ND <br /> MITIGATION MONITORING IMPLEMENTATION SCHEDULE ❑EXEMPTION <br /> ❑ADDENDUM <br /> B.ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> �X OPERATING LIABILITY FINANCIAL MECHANISMFINANCIAL RESPONSIBILITY DOCUMENTATION <br /> �CLOSURE/POST CLOSURE MAINTENANCE PLAN �LANDRLL CAPACITY SURVEY RESULTS(see instntcliom) <br /> ❑ PRELIMINARY Cost as of 2004 <br /> ❑ FINAL <br /> C.IF APPLICABLE: <br /> OREPORT OF WASTE DISCHARGE DEPT.OF HEALTH SERVICES PERMIT <br /> CONTRACT AGREEMENTSSWAT(Air and water) <br /> �STORMWATER PERMIT APPLICATION. WETLANDS PERMITS <br /> �NPDES PERMIT APPLICATION VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> OTHER <br /> Part 7.OWNER INFORMATION (For disposal site if operator Is different from land owner,attach lease or other agreement) <br /> TYPE OF 011SINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Nam): <br /> Son Joaquin County,Department ofPubLc Work8 Sohaf Waste DN <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> 209-468-3066 <br /> FAX#: <br /> 209-468-3078 <br /> PO Box 1810,Stockton,CA 95201 E-MAIL ADDRESS: <br /> CONTACT PERSON(Print Nam): <br /> Annette Bor es <br />