Laserfiche WebLink
IF'YES'. PLEASE ENCLOSE ACOPY <br /> IF-W,WILL AN EIR BE PREPARED? ®YES ®N <br /> WILL A NEGATNE DECLARATION(NO)BE PREPARED? OYES ON " <br /> IF"YES%PLEASE ANSWER THE FOLLOWING: <br /> WFIO Will PREPARE THE ND? <br /> APPROXNAATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATING FACILITY: <br /> ®SOLE PROPRIETORSHIP ®PARTNERSHIP Ox CORPORATION OGOVERNMENTAGE14CY <br /> V.OPERATOR <br /> INFORMATION OWNER OF LAND ADDRESS: TELEPHONE s: SSN OR TAX ID i <br /> For Ind d*ba"l If (Nams):Forward Inc. 9999 S.Austin Road.Manteca.CA (208)882-4288 841544481 <br /> operator Is ower dl 95336 <br /> from <br /> land owner. <br /> attach Isass or FACIuw OPERATOR ADDRESS: TELEPHONE is SSN OR TAX ID is <br /> franchise agreement. <br /> Fornerd Inc. 94389 S.Austin Road.Moneecs,CA (209)982-4298 841544481 <br /> (Flame): 96336 <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 9999 S.Austin Road,Manteca,CA 95336 <br /> 1 hereby acwzw read Ws application SM ft RePW of raZ;W lnUMUMM.I <br /> jook�s .-JTD or ROWD and carblY that the <br /> information given i9 true and accurate to the beet of my WWWWP and belief. In the solid musts facility,I agree to Comply with the <br /> conditions of the permit and wth federal,State,and boil eructrr-Irs. <br /> SIGNAT ( OWNER ZApENT): SIGNA (F OPERA OR <br /> K in Basso Kevin <br /> General Mana er Januar 27 2003 General Manager Januar 27 2003 <br /> V1.LIST OF ATT (CHECK IF APPUCAIBLEY <br /> ®REPORT OF FACILITY INFORMATION OOPERATING LIABILITY FINANCIAL.MECHAMISM <br /> ®REPORT OF WASTE DISCHARGE 0 Y CLOSUREJPOSTCLOSURE MAINTENANCE PLAN <br /> OJTD(RDSUROWD) ®FINAL CLOSUREIPOSTCLOSURE MAINTENANCE PLAN <br /> ®CONTRACT AGREEMENTS OFINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®DEPARTMENT OF HEALTH SERVICES PERMIT ®OTHER REGULATORY AGENCY PERMITS <br /> ®LOCAL USEIPLANNING PERMITS ®OTHER: <br /> ClcewnFIEO ENVIRON MENTAL REVIEW REPORTS(CEQA) <br /> Qa 1NFORNAATION ON THE STATUS OF THE APPLICANTS COMPLIANCE WITH CEQA RE®UIREMIENTS REGARDWG <br /> THE PROPOSED PROJECT. <br /> OEVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CECtA PRC,DIVISION 13,2100 at.*% <br /> vesiod 4.6% <br /> e <br /> 9 <br />