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ro <br /> Part 5. COMPLIANCE WITH CALIFORNIA EN IRONMENTAL 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 /> ®ENVIRONMENTAL IMPACT REPORT(EIR)SCH# 2006062113(December 6,2006) <br /> ®NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#9208282(October 1992,) <br /> ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: EIR Was prepared <br /> E-1CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: ®ENVIRONMENTAL DOCUMENT(S): <br /> ®RFI/JTD 9-Sep-08 ®El EIR <br /> ®LOCAL USE/PLANNING PERMITS UP-89-2(8/10/89) SCH#88060714(March 1989)for initial siting <br /> SCH#2006062113 December 6,2006(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 of this project <br /> ❑ADDENDUM NA <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM_Self-insurance ®FINANCIAL RESPONSIBILITY DOCUMENTATION Per JTD,initial issue Sept 9,2008 <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN(in JTD) ®LANDFILL CAPACITY SURVEY RESULTS(see instructions) 26-Mar-01 <br /> ®PRELIMINARY 24-Jul-08 Attached <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> ®REPORT OF WASTE DISCHARGE R5-2002-0219,12-6-02 ❑DEPT.OF HEALTH SERVICES PERMIT <br /> CONTRACT AGREEMENTS ❑SWAT(Air and water) <br /> ®STORMWATER PERMIT APPLICATION WDID#5S39I005571 ®WETLANDS PERMITS #26 National permit <br /> SIC 4953 Processed 7-Apr-92 (Per Corps of Eng 2/26/1990 <br /> NPDES PERMIT APPLICATION ®VERIFICATION OF FIRE DISTRICT COMPLIANCE 07-005 <br /> ❑OTHER <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 /> 0SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND County Of San Joaquin SSN OR TAX ID# 6800-14563 <br /> (Name): <br /> County of San Joaquin,Public Works Department <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> San Joaquin County <br /> Department of Public Works 209-468-3066(Solid Waste Division) <br /> Attention Solid Waste Division FAX#: <br /> 1810 East Hazelton Ave. <br /> Stockton CA 95205 <br /> 209-468-3078(Solid Waste Division) <br /> E-MAIL ADDRESS: <br /> mcarroll@sjgov.org <br /> CONTACT PERSON(Print Name): <br /> W.Michael Carroll <br /> Page 3 <br />