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it #- <br /> State of California California Integrated Waste <br /> CIWMB 216 (Rev. 02/04) Management Board <br /> RFI Amendment Determination Checklist <br /> Attached are the following items: Date of LEA received package: <br /> ❑JTD Index 12,— o"] <br /> Application form <br /> A copy of the RFI Amendment Date LEA denied RFI Amendment: <br /> ❑ New CEQA documentation since the last <br /> permit was issued(including any exemptions) Date LEA accept RFI Amendment: <br /> ❑ Other: <br /> The LEA determination should answer the following questions: <br /> 1)What are the changes covered by the RFI Amendment? w'4'^'"-461 P4 Pc+- <br /> Ai r►ww c®w- as�- 0. 6o,,-V- Qrs, ara er ow.ic.- r' IA111 <br /> 2)Is the proposed change(s)consistent with CEQA? 27YES ❑NO <br /> What CEQA documents were used to determine this? GM 4t-- 11310-2-o14- <br /> pec 20193 <br /> Has the LEA determined that the change would not create any adverse environmental impacts and is exempt from CEQA? <br /> YES ❑NO <br /> What exemption classification did the LEA or other lead agency use? <br /> 3)Does the proposed change impact the facility's ability to comply with financial assurances and operating liability? <br /> ❑YES XjNO <br /> 4)Is the proposed change consistent with state minimum standards? YES ❑NO <br /> Will the change exacerbate any current compliance problems at the facility? H YES NO <br /> Would implementation of the change effect the operator in complying with any enforcement order? <br /> ❑YES NO <br /> 5)Does this change conflict with any part of the governing permit? ❑ YES NO <br /> 7)Will the proposed change in the RFI Amendment require the operator to amend the closure post closure plan? <br /> ❑ YES NO <br /> 8)Any additional information required by the operator: <br /> Additional Information: <br /> *Completion of this form is not required by regulation, however, it will provide the CIWMB with the information required by <br /> 27 CCR 21665. <br />