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State of California California Integrated Waste CIWMB 216 (Rev. 02/04) Management Board RFI Amendment Determination Checklist Attached are the following items: Date of LEA received package: ❑JTD Index pplication form rNcopy of the RFI Amendment Date LEA denied RFI Amendment: ew CEQA documentation since the last permit was issued(including any exemptions) Date LEA accept RFI Amendment: ❑ Other: The LEA determination should answer the following questions: 1)What are the chang�e(s�covered /b�y'the RFI Amendment? cn�IOLt� cC:i'_�1�r�,--- 'Cv- (�v� tr ��-- yr:7e'.+x-��>�✓.• � -�c�S�✓� G- �icive-cam 2)Is the proposed change(s)consistent with CEQA? YES ❑NO �� s `5.) G— �..��s�� 1•.�, low e What CEQA documents were used tp determine this? Has the LEA determined that the change would not create any adverse�environmental impacts and is exempt from CEQA? ✓�A_7 �--� o v /v 1�C C c15 GertL i" ❑ YES ❑NOz� �- What exemption classification did the LEA or other lead agency use? 5 3)Does the proposed change impact the facility's ability to comply with financial assurances and operating liability? ❑ YES P&O 4)Is the proposed change consistent with state minimum standards? EYESE:1NO Will the change exacerbate any current compliance problems at the facility? F-1YES NO Would implementation of the change effect the operator in complying with any enforcement order? ❑YES NO 5)Does this change conflict with any part of the governing permit? ❑ YES �kNo 7)Will the proposed change in the RFI Amendment require the operator to amend the closure post closure plan? ❑YES ]NO 8)Any additional information required by the operator: Additional Information: *Completion of this form is not required by regulation, however, it will provide the CIWMB with the information required by 27 CCR 21665.