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e <br />Part 5. COMPLIANCE WITH CALIFORNIA ENWRONMENTAL QUALITY ACT (CEQA) (CheAWplicable 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 />®ENVIRONMENTAL IMPACT REPORT (EIR) SCH# 2006062113 <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: EIR Was prepared <br />ElCATEGORICAUSTATUTORY 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 />MR RFI/JTD 9 -Sep -08 <br />LOCAL USE/PLANNING PERMITS NA/ (public agency) <br />GUIDELINE # <br />®ENVIRONMENTAL DOCUMENT(S): <br />®❑EIR <br />March 1989, SCH #88060714 (for initial siting) <br />December 2006, SCH #2006062113 (for permit revision) <br />®LOCATION MAP ❑ MND/ND NA <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE ❑ EXEMPTION NA <br />Screening vegetation must be planted within one year of approval ot this project <br />❑ ADDENDUM NA <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM_ Self -Insurance <br />®CLOSURE/POST CLOSURE MAINTENANCE PLAN (in JTD) <br />® ❑ PRELIMINARY 24 -Jul -08 <br />❑ FINAL <br />C. IF APPLICABLE: <br />®REPORT OF WASTE DISCHARGE <br />❑CONTRACT AGREEMENTS <br />F—ISTORMWATER PERMIT APPLICATION <br />E1NPDES PERMIT APPLICATION <br />OTHER <br />FINANCIAL RESPONSIBILITY DOCUMENTATION <br />®LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />Attached <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 />SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION <br />OWNER(S) OF LAND County Of San Joaquin <br />(Name): <br />County of San Joaquil <br />ADDRESS, CITY, STATE, ZIP <br />Department of Public Works <br />Attention Solid Waste Division <br />PO Box 1810, Stockton CA 95201 <br />®GOVERNMENT AGENCY <br />SSN OR TAX ID # <br />FAX M <br />209-468-3078 (Solid Waste Division <br />mcarroll@sjgov.org <br />CONTACT PERSON (Print Name): <br />W. Michael Carroll <br />Page 3 <br />