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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 />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />®ADDENDUM TO (Identify environmental document) <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />E-1CATEGORICAL/STATUTORY 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 />X❑RFI/JTD 12193, Amendments to RFI 09/96, 12/04, 03106, 04/07 <br />X❑LOCAL USE/PLANNING PERMITS UP -93-41 <br />XXLOCATION MAP Figures, RFI Amendment 03106 <br />F—IMITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />OPERATING LIABILITY FINANCIAL MECHANISM_ n/a <br />F—ICLOSURE/POST CLOSURE MAINTENANCE PLAN n/a <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE <br />F-�CONTRACT AGREEMENTS <br />r--JSTORMWATER PERMIT APPLICATION <br />0 NPDES PERMIT APPLICATION <br />Waiver, 3194 <br />OTHER APCD Permit to Construct #N-3137-4-0 <br />GUIDELINE* <br />SCH##96102011-SCH201110213 (2011) <br />SCH# <br />ENVIRONMENTAL DOCUMENT(S): <br />X Exemption NOE July 5, 2066 <br />❑ ADDENDUM <br />❑FINANCIAL RESPONSIBILITY DOCUMENTATION n/a <br />LANDFILL CAPACITY SURVEY RESULTS (see instructions) n/a <br />DEPT. OF HEALTH SERVICES PERMIT <br />Ej 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 landowner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />El SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION EIGOVERNMENTAGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />Ike Repetto #880293953 <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 />mikeL@tdswm.com <br />CONTACT PERSON (Print Name): <br />Mike ReDetto <br />Page 3 <br />