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10 SITE IDENTIFICATION FORM <br /> (Attach additional description or explanation as needed.) <br /> Initial I.D.(Y/N): Date of Field Visit: 12/21/98 Follow-tip Investigation(Y/N): I n <br /> SITE INFORMATION <br /> Site Name: Southwest Hide Company AKA: <br /> SWIS#: case2664 I County: I San Joaquin-39 APN: 243-240-04 <br /> Location: 11651 E.Palm Lane Manteca Lat/Long <br /> (Include Location,Township,Range,and Section,and a Parcel Map or a Quadrangle Map w(rownship,Range,and Section,also include latitude and longitude) <br /> Land Owner(s): Girdner,Paul k and K <br /> Address: 250 S.Beechwood#180 <br /> City: I Boise State: I ID Zip: 183709 Phone: <br /> Types of Waste: ❑ Inert ❑ Residential ❑ Commercial ❑ Industrial ❑ Hazardous ® Liquid, <br /> Site Type: ❑ 'Illegal Disposal ❑ Landfill ❑ Bum Ash Site ❑ Treatment Unit ❑ Codisposal <br /> Disposal Area(Acres): SWP Date: WDR Number: <br /> Site Status: I I Dates of Operations: ukn <br /> Closure Approved By: <br /> LAND USES [YES <br /> 000 ft. wfn 1 mi. of waste boundary <br /> NO YES NO COMMENTS <br /> Rural:Agricultural: ❑ ❑ ❑ Site is surrounded by agriculture <br /> Residential: ❑ ❑ ❑ ® There is a home for the caretaker on site. <br /> Commercial: ❑ ❑ ® ❑ <br /> Industrial:' ® ❑ ❑ ❑ A portion of the facility is used for industrial purposes. <br /> Environmentally Sensitive: ❑ ❑ ❑ ® Agriculture. <br /> Water Supply Wells: ® ❑ ❑ ❑ Site is served by a well <br /> Surface Water Bodies: ❑ ❑ ❑ <br /> Inhabitable Structures: ® ❑ ❑ ❑ <br /> Enclosed Structures: ® ❑ ❑ ❑ <br /> Planned Improvements: ❑ ® ❑ ❑ <br /> OBSERVATIONS <br /> Surface Condi#ion: graded <br /> Landfill Gas: Inone <br /> Leachate:i none <br /> Bum Ash: none <br /> Otter: The site is a Regional Board site.The site does not appear to be used as a land fill. <br /> All information that I have found supports the idea that the site was not used as a land fill. <br /> RECOMMENDATIONS <br /> Emergency Response: Inone needed <br /> Other Action(s): <br /> Reassess Site?(Y/N/NA): I no No Further Action?(D,U,X Category Y/N): D <br /> Priority for Site Assessment(High/Med/Low): low <br /> Prepared By: I Robert McClellon Date: 12-29-98 <br /> Reduced Inspection Frequency Approved(Y/N): Frequency Date: <br /> CIWMB Remediation,Closure,and Technical Services Branch Revised October 1998 <br />