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—ft <br /> Part 5.COMPLIANCEWITH 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 /> X�ENVIRONMENTAL IMPACT REPORT(EIR)SCH# SCH#93042093 <br /> Fx NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#96102011 <br /> ADDENDUM TO(Identify environmental document) <br /> SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> F—ICATEGORICAL/STATUTORY 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 /> XRFI/JTD 12/93,Amendments to RFI 09/96, 12/04,08/06 X�ENVIRONMENTAL DOCUMENT(S): <br /> x❑LOCAL USE/PLANNING PERMITS UP-93-41 X EIR SCH#93042093 <br /> XILOCATION MAP Figures, RFI Amendment 08/06 ❑MND/ND SCH#96102011 <br /> F-IMITIGATION MONITORING IMPLEMENTATION SCHEDULE X Exemption P NOE July 5,2006 <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> F-JOPERATING LIABILITY FINANCIAL MECHANISM_ n/a FIFINANCIAL RESPONSIBILITY DOCUMENTATION n/a <br /> F-ICLOSURE/POST CLOSURE MAINTENANCE PLAN n/a EILANDFILL CAPACITY SURVEY RESULTS(see instructions) n/a <br /> ❑ PRELIMINARY <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> X❑REPORT OF WASTE DISCHARGE Waiver,3/94 ®DEPT.OF HEALTH SERVICES PERMIT <br /> CONTRACT AGREEMENTS SWAT(Air and water) <br /> [--JSTORMWATER PERMIT APPLICATION WETLANDS PERMITS <br /> nNPDES PERMIT APPLICATION VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> OTHER APCD Permit to Construct#N-3187-4-0 <br /> Part 7.OWNER INFORMATION (For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ❑SOLE PROPRIETORSHIP PARTNERSHIPCORPORATION GOVERNMENT AGENCY <br /> OWNER(S)OF LAND <br /> 11 <br /> (Name): <br /> L#6802939:53 <br /> D# <br /> Mike Repetto <br /> ADDRESS,CITY,STATE,ZIP <br /> TELEPHONE#: <br /> Tracy Material Recovery and Transfer Facility (209)835-0601 <br /> 60 E.11th Street,Tracy CA 95376 <br /> (209)835-7729 <br /> E-MAIL ADDRESS: <br /> miker@tdswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> Page 4 <br />