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t <br /> IV ENVIR TAL IMPACT REPORT(EIR) <br /> HAS AN EIR BEEN PREPARED FOR THIS PROJECT? x❑YES copy on file ONO <br /> IF"YES', PLEASE ENCLOSE A COPY ®YES ❑NO <br /> IF"NO",WILL AN EIR BE PREPARED? YES E]NO <br /> WILL A NEGATIVE DECLARATION(ND)BE PREPARED? YES ONO <br /> IF"YES-,PLEASE ANSWER THE FOLLOWING: <br /> WHO WILL PREPARE THE ND? <br /> APPROXIMATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATING FACILITY: <br /> MSOLEPROPRIETORSHIP PARTNERSHIP CORPORATION MGOVERNMENT AGENCY <br /> V.OPERATOR OWNER OF LAND ADDRESS:1333 E.Truner Rd Lodi.CA 95241 TELEPHONE#: SSN OR TAX ID# <br /> INFORMATION (Name): USA Waste of California (209)369-6894 <br /> For land disposal, dba Central Valley Waste Services <br /> if operator is FACILITY OPERATOR ADDRESS: TELEPHONE#: SSN OR TAX ID#: <br /> different from (Name): <br /> land owner,attach <br /> lease or franchise ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> agreement. <br /> I hereby acknowledge that I have read this application and the Report of Facility Information,if applicable,JTD or ROWD and ce11 rtify 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 federal,state,and local enactment's. <br /> SIGNATU E LAND OWN R OR NT): SI(3NATU FACILITY PE RA OR AGENT): <br /> TYPED NAh TYPED N E: <br /> Alex eguera Alex Ose uera <br /> TITLE:Waste Management DATE: TITLE:Waste Management DATE: <br /> District Manager 4/17/2002 District Manager 4/17/2002 <br /> VI.LIST OF ATTACHMENTS(CHECK IF APPLICABLE): <br /> ❑REPORT OF FACILITY INFORMATION ®OPERATING LIABILITY FINANCIAL MECHANISM <br /> ❑REPORT OF WASTE DISCHARGE ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> n)TD(RDSI/ROWD) ®FINAL CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®CONTRACT AGREEMENTS ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ❑DEPARTMENT OF HEALTH SERVICES PERMIT ®OTHER REGULATORY AGENCY PERMITS <br /> ❑LOCAL USE/PLANNING PERMITS ®Other:Transfer/Processing Report <br /> ❑CERTIFIED ENVIRONMENTAL REVIEW REPORTS(CEQA) <br /> ®INFORMATION ON THE STATUS OF THE APPLICANTS COMPLIANCE WITH CEQA REQUIREMENTS REGARDING <br /> THE PROPOSED PRO)ECT. <br /> ®EVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CEQA PRC,DIVISION 13,2100 et.sec <br /> version 4-6/96 <br />