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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)SCH# <br /> ❑NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND) <br /> ADDENDUM TO(Identify environmental document): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> F—ICATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6. LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITALS: <br /> ElRFI/JTD Amendment No.1-July 2005 F71 ENVIRONMENTAL DOCUMENT(S): <br /> 0 LOCAL USE/PLANNING PERMITS April 2003 O EIR SCH#2001052081 Dated December 2002 <br /> F71LOCATION MAP Included as Drawing 1 of June 2003 JTD 0 MND/ND <br /> MITIGATION MONITORING INPLEMENTATION SCHEDULE December 2002 ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM May 27,2005 F71 FINANCIAL RESPONSIBILITY DOCUMENTATION February 2005 <br /> CLOSURE/POST CLOSURE MAINTENANCE PLAN LANDFILL CAPACITY SURVEY RESULTS(see instructions)July 2005 <br /> PRELIMINARY In App.L of JTD F-1 FINAL <br /> dated 5/2002 <br /> C. IF APPLICABLE: <br /> ®REPORT OF WASTE DISCHARGE ®DEPT.OF HEALTH SERVICES PERMIT <br /> ®CONTRACT AGREEMENTS ®SWAT(Air and water) <br /> ®STORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> ®NPDES PERMIT APPLICATION ®OTHER <br /> F—IVERIFICATION OF FIRE DISTRICT COMPLIANCE <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 GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> Forward Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE#:(209)982-4298 <br /> FAX#: <br /> E-MAIL ADDRESS: <br /> CONTACT PERSON(Print Name): <br /> Page 3 <br />