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Part;. COMPLIANCE WITH CALIFORNIA IRONMENTAL QUALITY ACT (CEQA) (Ch plicabie 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# <br />SCH#93042093 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />®ADDENDUM TO (Identify environmental document) <br />SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />F--�CATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />XERFI/JTD February 2013 <br />QLOCAL USE/PLANNING PERMITS UP -93-41, PA -0800005 <br />X❑LOCATION MAP February 2013 <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 />M REPORT OF WASTE DISCHARGE <br />F-�CONTRACT AGREEMENTS <br />❑STORMWATER PERMIT APPLICATION <br />DNPDES PERMIT APPLICATION <br />Waiver, 3/94 <br />OOTHER APCD Permit to Construct #N-3187-4-0 <br />GUIDELINE # <br />F7 ENVIRONMENTAL DOCUMENT(S): <br />X EIR SCH#93042093 <br />x SCH#2011102013 <br />X Exemption NOE July 5, 2006 <br />❑ ADDENDUM <br />❑FINANCIAL RESPONSIBILITY DOCUMENTATION <br />n/a <br />LANDFILL CAPACITY SURVEY RESULTS (see instructions) n/a <br />DEPT. OF HEALTH SERVICES PERMIT <br />® 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 />1:1 SOLE PROPRIETORSHIP ®PARTNERSHIP El CORPORATION F-1GOVERNMENTAGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />Mike Re etto #680293953 <br />ADDRESS, CITY, STATE, ZIP TELEPHONE #: <br />Tracy Material Recovery and Transfer Facility (209)835-0601 <br />30703 S. MacArthur Drive Tracy CA 95376 <br />FAX #: <br />(209)835-7729 <br />E-MAIL ADDRESS: <br />miker@tdswm.com <br />CONTACT PERSON (Print Name): <br />Mike Repetto <br />Page 3 <br />