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Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQA)"(Check applicable boxes) <br /> A. W BOXES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> I' ENVIRONMENTAL IMPACT REPORT(EIR)SCH# 9209072 2/94 <br /> F-1 NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> El ADDENDUM TO(Identify environmental document) SCH# <br /> 8. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> a CATEGORICAUSTATUTORY EXEMPTION(CE/SE) GUIDELINE# <br /> EXEMPTION TYPE <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> ®RFI/JTD TPR-Dated 01-2005 FA#0001434 Amendments 3/05 ®ENVIRONMENTALDOCUMENT(S): <br /> ®LOCAL USE/PLANNING PERMITS UP-93-2 10/93 <br /> YJEIR SCH #9209072 2/94 <br /> ❑MND/ND <br /> ®LOCATION MAP <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE <br /> 7/6/93 ❑EXEMPTION <br /> ❑ADDENDUM <br /> S. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> QOPERATING LIABILITY FINANCIAL MECHANISM - MFINANCIAL RESPONSIBILITY DOCUMENTATION <br /> - E -- - LANDFILL CAPACITY SURVEY RESULTS(see instructions) " <br /> QCLOSURE/POST CLOSURE MAINTENANCE PLAN <br /> ❑ PRELIMINARY .. .. - .. <br /> ❑ FINAL <br /> C. IF APK.1"BLE - <br /> MOEPT.OF"HEALTH SERVICES PERMIT <br /> OREPORT OF WASTE DISCHARGE" <br /> CT'AGREEM<NTS SWAT(Air and water) <br /> WETLANDS.PERMITS <br /> - MWA7ER PERMIT":APPLICAT!©N' -" - <br /> aNPDES PERMIT APPLICATION <br /> �VERIFICATIONOFFIRE.DISTRICTCOMPLIANCE,' <br /> QOTHER" <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 CORPORATION MV GOVERNMENT <br /> SSN OR TAX ID# <br /> OWNER(S)OF LAND <br /> Mame): San Joaquin County <br /> Department of Public Works-Solid Waste Division 6800-14563 <br /> TELEPHONE#: <br /> ADDRESS,CITY.STATE,ZIP <br /> PO Box 1810 (209) 468-3066 <br /> Stockton, CA 95201 F #: <br /> (209) 468-3078 <br /> E-MAIL ADDRESS: <br /> DReno@sjgov.org <br /> CONTACT PERSON(Print Name): <br /> Desi Reno <br /> Page 3 <br />