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u ' IwID i <br /> Part S. COMPLIANCE WITH CAL 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# 9209072 February 1994 <br /> ❑NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> FiCATEGORICAUSTATUTORY 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 /> Fx-IRFI/JTD TPR dated April,2015 ®ENVIRONMENTAL DOCUMENT(S): <br /> ®LOCAL USE/PLANNING PERMITS UP-93-2(Oct 1993) o EIR SCH#9209072 February 1994 <br /> ®LOCATION MAP See TPR o MND/ND <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE 6-Jul-93 o EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: NA-Nota landfill <br /> OPERATING LIABILITY FINANCIAL MECHANISM FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> DCLOSURE/POST CLOSURE MAINTENANCE PLAN FILANDFILL CAPACITY SURVEY RESULTS(see instructions) <br /> ❑ PRELIMINARY <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> REPORT OF WASTE DISCHARGE NA FIDEPT.OF HEALTH SERVICES PERMIT <br /> ❑CONTRACT AGREEMENTS n SWAT(Air and water) <br /> E-1STORMWATER PERMIT APPLICATION ❑WETLANDS PERMITS <br /> nNPDES PERMIT APPLICATION ❑VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> F-IOTHER <br /> Part 7.OWNER INFORMATION (For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION X❑GOVERNMENTAGENCY <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 /> E-MAIL ADDRESS: <br /> tbahadori@sigov.org <br /> CONTACT PERSON(Print Name): <br /> Ta'Bahadori <br /> Lovelace Permit Review 2015 Printed 5/1.412015 <br />