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State of California - Department of Fish and Wildlife <br />2023 ENVIRONMENTAL DOCUMENT FILING FEE <br />/CASH RECEIPT <br />DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a <br />Print J <br />'Save <br />RECEIPT NUMBER: <br />AC RECEIPT #: 3491169 <br />01-09/12/2023-251 <br />STATE CLEARINGHOUSE NUMBER (If applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY <br />LEADAGENCY EMAIL <br />DATE <br />CITY OF SAN LEANDRO <br />09/12/2023 <br />COUNTY/STATE AGENCY OF FILING <br />DOCUMENT NUMBER <br />ALAMEDA <br />23 - 251 <br />PROJECT TITLE <br />PUBLIC WORKS SERVICE CENTER REPLACE FUEL TANKS (CITY PROJECT NO. 2020-3600) <br />PROJECT APPLICANT NAME <br />PROJECT APPLICANT EMAIL <br />PHONE NUMBER <br />BENNETT SANDERSON <br />(510) 577-3432 <br />PROJECT APPLICANT ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />835 E. 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 />$3.839.25 $ 0.00 <br />❑ Mitigated/Negative Declaration (MND)(ND) <br />$2,764.00 $ 0.00 <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW <br />0.00 <br />$1,305.25 $RECEIVED <br />0 Exempt from fee <br />E] Notice of Exemption (attach) <br />SEP 18 2023 <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />CITY CLERK'S OFFICE <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) <br />$850.00 $ 0.00 <br />County documentary handling fee <br />$ 50.00 <br />❑ Other <br />$ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit © Check ❑ Other TOTAL RECEIVED $ 50.00 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />Y SH DEPUTY CLERK <br />