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CHECKLIST F(eDENTIFICATION OF SURFACE 1111, ENTS <br /> SUBJECT TO THE TOXIC PITS CLEANUP ACT (T A) <br /> (Complete one form for each impoundment) <br /> Regional Board: fZ I04 5 Date of Report: 4-11,0 <br /> Inspector: �d,3-11 Date of Inspection: Z <br /> L. OWNER INFORMATION <br /> NAME TCORP, INDIVIDUAL OR PUB. AGENCY) PUBLIC AGENCY ONLY PHONE A AREA <br /> 001 FED Mb 2 STATE 003 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> P.v. (3ox rL�98 -�r�JZAI �F 9szo� <br /> II. FACILITY INFORMATION <br /> FACILITY NAME CONTACT PERSON OPERATOR <br /> E(- poRAM L-(-1't54_i l c A L co. 1 x l,A�l� 4ocJ CO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> I&�5 t;. HaantJ AY <br /> CITY COUNTY u ( IP <br /> h�(c-rbA sem! .Tom LP- <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O . aOx . 3 7-5W 'ClArl /hrlTv a I D S 2 <br /> PHONE W AREA TYPE OF BUSINESS <br /> 0109)06 -8643 WpL4(r,4-L, N Nel rA-e2C(� <br /> TOTAL NO. OF IMPOUNDMENTS RURAL AREAS ONLY TOWNSHIP RANGE ---- --- <br /> III. IMPOUNDMENT INFORMATION Column A Column B <br /> Name and/or number: Subject to TPCA 6t Subject to TPCA <br /> a. Contents -�C waste or product <br /> b. Nature hazardous or _ non-hazardous <br /> c. Construction/Design _ earthen or non-earthen <br /> or other materials with <br /> non-structural independent , <br /> materials structural <br /> integrity <br /> d. Discharge (including storage) Has occurred or none after <br /> on or after 12/31/84 <br /> 1/1/85 <br /> IV. CONCLUSION (check appropriate box) <br /> A. [] IMPOUNDMENT MEETS ALL OF THE CRITERIA IN COLUMN A. AND IS SUBJECT TO THE TPCA. <br /> B. IMPOUNDMENT MEETS �T LEr.�i OIE CR ,iLRION IN COLUMN B AND IS NOT SUBJECT TO <br /> THE TPCA. <br /> C. INSUFFICIENT INFORMATION AVAILABLE, CONCLUSION PENDING. <br /> IF SUBJECT TO THE TPCA, COMPLETE ;)EXT PAGE. <br />