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i <br /> Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQA) (Check applicable boxes) j <br /> i <br /> A. CHECK SOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT: <br /> IAI 1.ENVIRONMENTAL DOCUMENT WAS PREPARED: <br /> ENVIRONMENTAL IMPACT REPORT(EIR)SCH# SCH#93042093 <br /> l� NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#2011102013, <br /> F] ADDENDUM TO(Identify environmental document) n1a SCH# <br /> 0 2.ENVIRONMENTAL DOCUMENT WILL BE PREPARED(Enter lead agency If known): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> CATEGORICAL/STATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# i <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 RFI-September 2018 X❑ ENVIRONMENTAL DOCUMENT(S): <br /> LOCATION MAP RFI-September 2018 IREIR SCH#93042093.12!18!1993 <br /> F1 MITIGATION MONITORING&REPORTING PROGRAM ®MND/ND SCH#2011102013-212112 <br /> xl LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC February 2,2012 ❑EXEMPTION <br /> July 24,2013 <br /> E3 ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR DISPOSAL FACILITIES ONLY: <br /> EJOPERATING LIABILITY FINANCIAL MECHAI,n1a FINANCIAL RESPONSIBILITY DOCUMENTATION n1a <br /> F1CLOSUREIPOST CLOSURE MAINTENANCE PLF n1a I I KNOWN OR REASONABLY FORSEEABLE CORRECTIVE ACTION COST ESTIMATES j <br /> n1a <br /> ❑PRELIMINARY <br /> L7 FINAL F-1 LANDFILL CAPACITY SURVEY RESULTS(see Instructi n1a <br /> C. IF APPLICABLE; <br /> XX REPORT OF WASTE DISCHARGE WQ 2015.0121-DWQ DEPT,OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br /> PROGRAM AGENCY PERMIT nla <br /> ElSTORMWATER PERMIT APPLICATION n/a SWAT(Air and water) n1a <br /> ElNPDES PERMIT APPLICATION n1a WETLANDS PERMITS n1a <br /> X� OTHER APCD PTO#N-3187.4.0 VERIFICATION OF FIRE DISTRICT COMPLIANCE n1a <br /> Part 7.OWNER INFORMATION (For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP a CORPORATION GOVERNMEN7AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Mike Repetto #680293953 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE M <br /> 30703 S.MacArthur Drive,Tracy,CA 95376 <br /> (209)835-0601 i <br /> FAX M ' <br /> (209)835-7729 <br /> E-MAIL ADDRESS: <br /> mikeratdswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> Page 3 <br />