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Part 5. COMPLIANCE WITH 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 />MXENVIRONMENTAL IMPACT REPORT (EIR) SCH# 88060714 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# October 1992 (SCH # 92082082) <br />X❑ADDENDUM TO (identify environmental document) Oct -90 SCH# 88060714 <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />OCATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE NIA <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />®RFUJTD March -05 <br />X7 LOCAL USE/PLANNING PERMITS 06/1989 (UP -89-2) <br />LOCATION MAP <br />X MITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />GUIDELINE # NIA <br />ENVIRONMENTAL DOCUMENT(S): <br />�� (SCH# 88060714) <br />❑ MND/ND <br />October 31 1992 ❑ EXEMPTION <br />UeADDENDUM Oct -90 <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM Per JTD March 2005_E.I FINANCIAL RESPONSIBILITY DOCUMENTATION Per JTD March 2005 <br />[K]CLOSURE/POST CLOSURE MAINTENANCE PLANLANDFILL CAPACITY SURVEY RESULTS (see instructions) 6/14/2004 <br />4 PRELIMINARY March -05 <br />❑ FINAL <br />C. IF APPLICABLE: <br />®REPORT OF WASTE DISCHARGE 12-06-2002 (WDR # RS -2002-0219) <br />DEPT. OF HEALTH SERVICES PERMIT <br />CONTRACT AGREEMENTS <br />❑SWAT (Air and water) N/A <br />©STORMWATER PERMIT APPLICATION Permit # 5S391005571 <br />MWETLANDS PERMITS May -90 <br />❑NPDES PERMIT APPLICATION <br />VERIFICATION OF FIRE DISTRICT COMPLIANCE-7/27/2007(Pennit # 07-005) <br />MOTHER <br />-- <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 <br />CORPORATION 71GOVERNMENT AGENCY <br />OWNERS) OF LAND <br />SSN OR TAX ID # <br />(Name): <br />6800-14563 <br />San Joaquin County Department of Public Works- Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP <br />TELEPHONE M <br />1810 E Hazelton Ave Stockton Ca 95205 <br />(209)468-3066 <br />FAX #: <br />(209)468-3078 <br />E-MAIL ADDRESS: <br />dreno@sjgov.org <br />CONTACT PERSON (Print Name): <br />Desi Reno <br />Page 3 <br />