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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# 2001052081 <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 /> r'-1CATEGORICAUSTATUTORY 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 /> El RFI/JTD:Transfer/Processing Report(TPR)(dated November 2003) ENVIRONMENTAL DOCUMENT(S): <br /> LOCAL USE/PLANNING PERMITS: El EIR SCH#2001052081 Dated December 2002 <br /> LOCATION MAP:Figure 1 in 2003 TPR ❑MND/ND <br /> MITIGATION MONITORING IMPLEMENTATION SCHEDULE:December 2002 ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ❑OPERATING LIABILITY FINANCIAL MECHANISM: FINANCIAL RESPONSIBILITY DOCUMENTATION: <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN LANDFILL CAPACITY SURVEY RESULTS(see instructions) <br /> PRELIMINARY/FINAL <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 /> EINPDES PERMIT APPLICATION ®OTHER: <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 aCORPORATION 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 />