Laserfiche WebLink
SIRE IDENTIFICATION F&M <br /> (Attach additional description or explanation as needed.) <br /> Initial I.D. (Y/N)- Follow-up Investigation (Y/N): <br /> SITE INFORMATION <br /> Site Name: -ZRAc�l ,�(FFEafg_,_6 LGEQ_r <br /> AKA: <br /> SWIS #: County: ,55 <br /> �jb Pu t m Parcel #(s): <br /> Location: 62650L. -Is . CORLSMPIIN RD TRI& <br /> I <br /> (Include L'0c on or Quad.wimp w® Township,RaV <br /> nge,and Section,and Parcel Map.) <br /> LandOwner(s): LLEPT- Q 'c ®GF IE <br /> Address: P o S o x 9 6000 ) <br /> City: s To r <br /> State: c A, Zip: 01,5 62 9 (Phone: a2l 9 �_Q - eR 0 Ir <br /> Types of Waste: Inert, Res., Com., Indust., CEajz , Liquid <br /> Site.Type: Illegal Dumping, LandfiH, Bum Dump, Treatment Unit <br /> I <br /> Disposal Areal'ATUMP ';��4 ir-&e SWFP Date: Bum Dump, <br /> (Acre): <br /> Dates of Operations: Closure Approved By: <br /> LAND USE ON OR WITHIN 1000 IT 1 MILE OF WASTE BOUNDARY <br /> Rural: Yes No Yes No <br /> Residential: Yes No Cf No <br /> Commercial: Yes No es No <br /> Industrial: Yes No Ces) No <br /> Environmental Sensitive: Yes No Yes No <br /> Water Supply Wells: —Yes o No <br /> Surface Water Bodies: Yes No Yes No <br /> Inhabitable Structures: Yes No Les) No <br /> Enclosed Structures: Yes No es No <br /> Planned Improvements: Yes No Yes <br /> OBSERVATIONS <br /> Date of Field visit: 4 3 9!{ Sig. Change Since Last Visit? (YIN/NA): N Q <br /> Surface Condition: ALL ZUAN DIA Ps &AE NOW COVE "D PC-Un AN(SA 1- <br /> *77)ZUe_rcAAeS ARE AIAILr ®/2 —r6n292 SMAS - i4AZWASrC- 11 1h1yi9Sr(r'Pr7#p B <br /> "9 <br /> Landfill Gas: ' 10us <br /> Leachate: 0&Aj r I P/ <br /> Other: <br /> RECOMAIEENDATION <br /> Emergency Response: <br /> Other (e.g. small scale illegal dumping that warmlits removal):* <br /> Reassess Site? (Y/N/NA): .&A. No Further Action? (D Priority Y/N): <br /> Priority for Site A sment (M hffledlLow). <br /> Prepared By: -94 Date: 5-0 <br /> CIWN[B Approval: &R Branch.. Compliance <br /> ClWMB Closure and Remediation Branch(Rev.3710/93) <br /> Board Approved(2/25/93) <br />