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' IV. W ' ' ONMENTAL IMPACT REPORT(EIR) <br /> HAS 4N EIR BEEN PREPARED FOR THIS P ? x❑YES ®NO <br /> IF"YES", PLEASE ENCLOS A COPY ❑YES :]NO* <br /> IF"NO",WILL AN EIR BE PREPARED? ®YES ®NO <br /> WILL A NEGATIVE DECLARATION(ND)BE PREPARED? DYES x]NO <br /> IF"YES",PLEASE ANSWER THE FOLLOWING: <br /> * Previously submitted. WHO WILL PREPARE THE ND? <br /> APPROXIMATE DATE OF COMPLETION: <br /> TYPE OF BUSINESS OPERATING FACILITY: <br /> []SOLE PROPRIETORSHIP ®PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> V.OPERATOR <br /> INFORMATION OWNER OF LAND ADDRESS: TELEPHONE#: SSN OR TAX ID <br /> For land disposal if (Name):Forward Inc. 1145 West Charter Way, Stockton, (209)466-4482 94-1544481 <br /> operator is different California 95206 <br /> from <br /> land owner, <br /> attach lease or FACILITY OPERATOR ADDRESS: TELEPHONE#: SSN OR TAX ID# <br /> franchise agreement. <br /> (Name):Forward Inc. 1145 West Charter Way, Stockton, (209)466-4482 94-1544481 <br /> California 95206 <br /> 1ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 320 N.Flower Street,Suite 400,Santa Ana,CA 92703 <br /> hereby acknowledge tat I have read this app(cation and the Report of Facility Information, if applicable,JTD or ROWD and certify that the <br /> information given is true and accurate to the best of my knowledge and belief. In operating the solid waste facility, I agree to comply with the <br /> conditions of the permit and with federal,state,and local enactment's. qP <br /> SIGNAT OWNER O ENT): SIGN ILITY OPER R AGENT): <br /> TYP NAME: Kevin Basso TOPED NAME: Kevin Basso <br /> TITLE: General Manager DATE: ' TITLE: General Manager DATE: a"02(l.® <br /> VI.LIST OF ATTACHMENTS(CHECK IF APPLICABLE): J <br /> REPORT OF FACILITY INFORMATION ®OPERATING LIABILITY FINANCIAL MECHANISM <br /> REPORT OF WASTE DISCHARGE ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®JTD(RDSI/ROWD) ®FINAL CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®CONTRACT AGREEMENTS ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®DEPARTMENT OF HEALTH SERVICES PERMIT ®OTHER REGULATORY AGENCY PERMITS <br /> ®LOCAL USE/PLANNING PERMITSx❑OTHER: Transfer/Processing Report <br /> ®CERTIFIED ENVIRONMENTAL REVIEW REPORTS(CEQA) <br /> ®INFORMATION ON THE STATUS OF THE APPLICANTS COMPLIANCE WITH CEQA REQUIREMENTS REGARDING <br /> THE PROPOSED PROJECT. <br /> ®EVIDENCE THAT THERE HAS BEEN COMPLIANCE WITH CEQA PRC,DIVISION 13,2100 et.sec <br /> version 4-6/96 <br />