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0 0 <br />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# 2001052081 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) <br />ADDENDUM TO (Identify environmental document): <br />B. IF ENVIRONMENTAL DOCUMENTS) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />®CATEGORICAUSTATUTORY 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 SUBMITTALS: <br />®RFI/JTD Amendment No. 2 -May 200E MENVIRONMENTAL DOCUMENT(S): <br />LOCAL USE/PLANNING PERMITS April 2003 © El SCH# 2001052081 Dated December 2002 <br />LOCATION MAP Included as Drawing 1 of June 2003 JTC ❑ MND/ND <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE December 200: ❑ EXEMPTION <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />OPERATING LIABILITY FINANCIAL MECHANISM: 1/1/2008- 1/1/200E ®FINANCIAL RESPONSIBILITY DOCUMENTATION: Letter from CIWMB, dated 9/6/07 <br />For period of 6/1/07 through 6/1/08 <br />CLOSURE/POST CLOSURE MAINTENANCE PLAN MLANDFILL CAPACITY SURVEY RESULTS (see instructions) February 2007 <br />® <br />PRELIMINARY: Amendment No. 3: July 2008 FINAL <br />Amendment No. 4: July 2008 <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE DEPT. OF HEALTH SERVICES PERMIT <br />®CONTRACT AGREEMENTS QSWAT (Air and water) <br />MSTORMWATER PERMIT APPLICATION 0 WETLANDS PERMITS <br />F-1NPDES PERMIT APPLICATION ®OTHER: WDR Order No. R5-2003-0049; SJVAPCD Permit No. N-339-17-10 (5/14/07); <br />SJVAPCD Permit No. N-339-17-11 (8/14/07); SJVAPCD Facility No. N-339-0-1 <br />®VERIFICATION OF FIRE DISTRICT COMPLIANCE (Permit copies included as Attachment A-2) <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 #: (209) 982-1009 <br />E-MAIL ADDRESS: Kevin.Basso@awin.com <br />CONTACT PERSON (Print Name): <br />Kevin Basso <br />Page 3 <br />