Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
E <br /> Part-&COMPLIANCE WITH CALIFORNI ENWRRONMENTAL QUALUTY ACT(irEQA-)jCheck applicab buxes)_ <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> MENVIRONMENTAL IMPACT REPORT(EIR)SCH# #92092072 <br /> NEGATIVE DECLARATION(ND)IMITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> ADDENDUM TO(Identify environmental doeurnant) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> C]CATEGORICAUSTATUTORY EXEMPTION(CEISE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6.LIST OF ATTACHMENTS.(FBI in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> WRFWTTD Sept. 23, 1993 (partial revision 1/12/02) �jRoNmENTALDocumLi jsy. <br /> ®LOCAL USE/PLANNING PERMITS Oct. 20, 1993 CtEIR June 1993 <br /> LOCATION MAP 13 MND/ND <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE 7/6/93 ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> _OPERATING LIABILITY FINANCIAL MECHANISM_ QFINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions) <br /> U PRELIMINARY <br /> Q FINAL <br /> C. IF APPLICABLE: <br /> REPORT OF WASTE DISCHARGE nDEPT.OF HEALTH SERVICES PERMIT <br /> ®CONTRACT AGREEMENTS EISWAT(Air and water) <br /> E3STORMWATER PERMIT APPLICATION MWETLANDS PERMITS <br /> EINPDES PERMIT APPLICATION nVERIFICATION 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 BUSINESS <br /> SOLE PROPRIETORSHIP PARTNERSHIP 000RPORATlON nV GOVERNMENT AGENCY <br /> Lai <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> San Joaquin Count 94-6000-531 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> Department of Public Works (209) 468-3066 <br /> P. 0. Box 1810 FAX# <br /> Stockton, CA. 95201 <br /> 209 468-3078 <br /> E-MAIL ADDRESS: <br /> aborges@co.san-joaquin.ca.us <br /> CONTACT PERSON(Print Name): <br /> Annette Borges <br /> Page 3 <br />