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Part 5. COMPLIANCE WITH CAL ENVIRO ENTAL QUALITY ACT (CEQA) (Check appli le 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 />TIENVIRONMENTAL IMPACT REPORT (EIR) SCH# 9209072 February 1994 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />®ADDENDUM TO (Identify environmental document) <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />FICATEGORICAUSTATUTORY EXEMPTION (CE/SE) <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 />X�RFI/JTD TPR dated April, 2015 <br />X❑LOCAL USE/PLANNING PERMITS UP -93-2 (OCt 1993) <br />®LOCATION MAP See TPR <br />X❑MITIGATION MONITORING IMPLEMENTATION SCHEDULE 6 -Jul -93 <br />GUIDELINE # <br />SCH# <br />®ENVIRONMENTAL DOCUMENT(S): <br />o EIR SCH# 9209072 February 1994 <br />o MND/ND <br />o EXEMPTION <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: NA - Not a landfill <br />OPERATING LIABILITY FINANCIAL MECHANISM FiFINANCIAL RESPONSIBILITY DOCUMENTATION <br />OCLOSURE/POST CLOSURE MAINTENANCE PLAN LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE <br />CONTRACT AGREEMENTS <br />nSTORMWATER PERMIT APPLICATION <br />EINPDES PERMIT APPLICATION <br />❑OTHER <br />Ilia <br />❑DEPT. OF HEALTH SERVICES PERMIT <br />SWAT (Air and water) <br />®WETLANDS PERMITS <br />®VERIFICATION 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 EIGOVERNMENT AGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />San Joaquin County Department of Public Works (Solid Waste Division) 6800-14563 <br />ADDRESS, CITY, STATE, ZIP TELEPHONE #: <br />PO Box 1810, Stockton CA 95201 209-468-3066 <br />FAX #: <br />209-468-3078 <br />f'r�-.t•. <br />Bahadori <br />Lovelace Permit Review 2015 Printed 5/14/2015 <br />