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PLEASE ENCLOSE A COPY <br /> F'W,WILL AN EIR SE PREPARFD? OYES ONO <br /> WILL A NEGATIVE DECLARATION NO)SE PREPAREW oy" [Z]NO <br /> IF'YES'.PLEASE ANSWER THE FOLLOWING: <br /> WHO WILL PREPARE THE NO? <br /> APPROXIMATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATIZ FACILITY: <br /> []SOLE PROPRIETORSHIP [-]PARTNERSHIP [I]CORPORATION [:]GOVERNMENT AGENCY <br /> V.OPERATOR <br /> INFORMATION OWNER OF LAND ADDRESS: TELEPHONE S: SSN OR TAX 10 9 <br /> For end d*xb"I If SM S. in Road.Menteca.CA <br /> opersior Is cofferwd (Nzvne):Fwwsrd Inc. 95M ON)982-4298 041644481 <br /> from <br /> land awner. <br /> Mach leaw at F95=W6KRATOR ADDR ITIE-PRONNE—*- SSN OR TAX TD—V <br /> fronchl"oWeemnt <br /> (Norm),Formard Inc. 9M S.Aundn Road,Monte",CA (209)9824298 94154"61 <br /> 1ADDREE-5-6-WiFERE—Lee&NOTK 6 WY FW SERVED: <br /> 9999 S.Auedn Road,Montom CA <br /> I h9r0bY 8CkrI0Wl6C@9-UM 1 r4W read M 801MOn ON ft ReW of FecWthformatim,it apprcsWo,JTD or ROWD WW Cartify that the <br /> inkrrnatim arven is true and accufale to the best of my WWMschp and belief In operstirig the sdid waste facility,I agree to coml*with the <br /> cormWws of the permit arxI w1h ladaml,slate,and Iwal croctrrwrs. <br /> SIG g <br /> TYPE r)M NAME: <br /> Kevin Basso vin Ba,q_qe% <br /> MTEF— DATE.- CATE: <br /> General Manager January 27. 2003 General Manager Januar j272003 <br /> VLUST OFAFT MMENTSICHECKWAPPLMMILE). <br /> C]REPORT OF FAAXITY INFORMATION []OPERATING LmaiuTy Fl IAL mEcHAmsm <br /> [::]REPORT OF WASTE DISCHARGE G)PRIBLIMINARY CLOSUREMOSTCLOSURE MAINTENANCE PLAN <br /> a]JTD(RWUROWD) ORNAL CLOSUREMOSTCLOSURE MAINTENANCE PLAN <br /> [—]CONTRACT AGREEMENTS (DIFINANCIAL REmury oocuwNTATioN <br /> [—]DMARTWNT OF WEALTH SERVICES PERMIT OOTKER REGULATORY AGENCY PERMrrS <br /> LOCAL US NI PERMITS OOTHER: <br /> MCERTIMED ENVIRONMENTAL REVIEW REPORTS(CEcW <br /> xNFORMATION ON THE STATUS OF THE APPucANrs COMPLIANCE WITH CEQA REQUIREMENTS REGARDING <br /> THE PROPOSED PROJECT, <br /> [:JEVIOENCE THAT THERE EN COMPUANCE WITH CZQA PRO.DIVISION 13,2100 0I.W <br /> vmion <br /> 4.GM <br />