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%k a in <br />Part 5. COMPLIANCE WITH CALIFORNIA ENVWNMENTAL QUALITY ACT (CEQA) (Check a7Wcable 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 />XIENVIRONMENTAL IMPACT REPORT (EIR) SCH# <br />SCH#93042093 <br />X❑NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />SCH#96102011 <br />❑ADDENDUM TO (Identify environmental document) SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />®CATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE Categorical Exemption GUIDELINE # Existing Facility -Section 15301 - Class 1 (a) <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />rx-1RFUJTD 12/93, Amendments to RFI 09/96,12/04,03/ <br />IX (LOCAL USE/PLANNING PERMITS UP -93-41 <br />ED LOCATION MAP Figures, RFI Amendment 03/06 <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM_ n/a <br />®CLOSURE/POST CLOSURE MAINTENANCE PLAN n/a <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICABLE: <br />X� REPORT OF WASTE DISCHARGE <br />CONTRACT AGREEMENTS <br />❑STORMWATER PERMIT APPLICATION <br />F-1NPDES PERMIT APPLICATION <br />Waiver, 3/94 <br />XJOTHER APCD Permit to Construct #N-3187-4-0 <br />x�ENVIRONMENTAL DOCUMENT(S): <br />X EIR SCH#93042093 <br />❑ MND/ND <br />❑ EXEMPTION <br />❑ ADDENDUM <br />FINANCIAL RESPONSIBILITY DOCUMENTATION <br />SCH# 96102011 <br />n/a <br />1:1 LANDFILL CAPACITY SURVEY RESULTS (see instructions) n/a <br />DEPT. OF HEALTH SERVICES PERMIT <br />F-1 SWAT (Air and water) <br />WETLANDS PERMITS <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 QCORPORATION ❑GOVERNMENTAGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />Mike R@ etto #880293953 <br />ADDRESS, CITY, STATE, ZIP TELEPHONE #: <br />Tracy Material Recovery and Transfer Facility (209)835-0601 <br />60 E. 11 th Street, Tracy CA 95376 <br />FAX #: <br />(209)835-7729 <br />E-MAIL ADDRESS: <br />miker@_tdswm.com <br />CONTACT PERSON (Print Name): <br />Mike Reoetto <br />Page 3 <br />