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HAS AN EIR BEEN PREPARED FOR THIS PROJECT? ®YES <br /> IF-YES-, PLEASE ENCLOSE A COPYW []YES <br /> IF"NCr.WILL AN EIR BE PREPARED? OYES ONO <br /> WILL A NEGATIVE DECLARATION(ND)BE PREPARED? OYES [:]NO <br /> IF"YES",PLEASE ANSWER THE FOLLOWING: <br /> WHO WILL PREPARE THE ND? <br /> [APPROXIMATE DATE OF COMPLETION. <br /> TYPE OF EILISINESS OPERATING FACILITY-. <br /> []SOLE PROPRIETORSHIP ®PARTNERSHIP E!]CORPORA-nON ®GOVERNMENT AGENCY <br /> V.OPERATOR OWNER OF LAND JADDRESS: TELEPHONE 11t,SSN OR TAX ID# <br /> INFORMATION (Narrro):Sa>otstHyponex 23390 E.Flood Rd UnderLCIL 95M 209-897-3845 31-1414921 <br /> For lard disposal. I I TELEPHONE SSN OR TAX 15#: <br /> if operator is P�UTY OPERAT UJADUESS.' <br /> different from (Name):ScottstHworm SAMEASABOVE <br /> lard owner.attach I 1 -23390 E.I FRI CifidmLa FU 13=49 UndenAA 956 <br /> lean or franchise AUX=WrV-M Lr-t3AL NU I ILA-_MAY Eft SERVE17. -low <br /> agreement. I <br /> I Reireby acknowle lge that I have re-aa this application and Tie RepoFt of Fact fi—tyTnformRon,if applicable,i I U or ROWD and certify that the <br /> information given is true and accurate to the best of my knowledge and belief. In operating the solid waste facility,I agree to comply with the <br /> conditions of the permit and with fede54,state,and local enactment's. <br /> OWNER OR G (FACILITY OPERATOR <br /> OR"M <br /> T =D NAME- <br /> � <br /> )9. <br /> TIT LEn DATE: E,DATE: <br /> T"o� <br /> r 4edg= r7- iIJ 6EX 2-29 <br /> VI.LIST OF ATTACHMENTS(CHECK IF APPLICABLE): <br /> ®REPORT OF FACILITY INFORMATION []OPERATING UAENUTY FINANCIAL MECHANISM <br /> ®REPORT OF WASTE DISCHARGE OpREUMNARy CLOSIFEpOsTCLOSURE MAINTENANCE PLAN <br /> OJTD(RDSUROWD) ®FINAL CLOSLIREIPOSTCLOSLIRE MAINTENANCE PLAN <br /> ®CONTRACT AGREEMENTS [:]FINANCIAL RESPONSIBLITY DOCUMENTATION <br /> [:]DEPARTMENT OF HEALTH SERVICES PERMIT OOTHER REGLILATORY AGENCY PERMITS -t:k- <br /> ®LOCAL USEIPLAMNG PERMITS rZOTHER'CNAkla loasi-' Gcll� Gut,�,k 39 <br /> [:]Cr=RTlREDEWP041,,ENTALREMEWFIEPORTS(CEQA) NOhCe, O-C (�0q-klcrv, Lb <br /> [:]INFORMATION ON THE STATUS OF THE AppUCANrSCOMPLlANCE WITH CEQA REQUAENENTS REGARDING 6eAU,,(4A <br /> THE PROPOSED PROJECT. k��VA On CTI <br /> EIEVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CEQA PRC,DIVISION 13.2100 etsecOb <br /> version 4-6% <br />