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,• State of California - Department of Fish and Wildlife <br />2025 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01/01/25) Previously DFG 753.5a <br />Print Save <br />__j <br />AC RECEIPT #: 3785021 <br />RECEIPT NUMBER: <br />01- 05/08/2025 - 194 <br />STATE CLEARINGHOUSE NUMBER (If applicable) <br />20231 10597 <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY <br />LEADAGENCY EMAIL <br />DATE <br />CITY OF SAN LEANDRO <br />05/08/2025 <br />COUNTY/STATE AGENCY OF FILING <br />DOCUMENT NUMBER <br />ALAMEDA <br />25 - 194 <br />PROJECT TITLE <br />880 DOOLITTLE DRIVE INDUSTRIAL PROJECT <br />PROJECT APPLICANT NAME <br />PROJECT APPLICANT EMAIL <br />PHONE NUMBER <br />CINDY LEMAIRE <br />(510) 577-3348 <br />PROJECT APPLICANT ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />835 EAST 14TH STREET <br />SAN LEANDRO <br />CA <br />94577 <br />PROJECT APPLICANT (Check appropriate box) <br />Local Public Agency School District Other Special District <br />State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) <br />$4,123.50 $ 0.00 <br />❑ Mitigated/Negative Declaration (MND)(ND) <br />$2,968.75 $ 0.00 <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW <br />$1,401.25 $ 0.00 <br />❑ Exempt from fee <br />❑ Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />R Fee previously paid (attach previously issued cash receipt copy) <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) <br />$850.00 $ 0.00 <br />0 County documentary handling fee <br />$ 50.00 <br />❑ Other <br />$ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit El Check ❑ Other TOTAL RECEIVED $ 50.00 <br />SIGNATURE <br />AGENCY OF FILING PRINTED NAME AND TITLE <br />X ��/L� <br />CBACA, DEPUTY CLERK <br />