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J - Q <br /> A <br /> " StdA�T Plt®P®SAL') <br /> f ^ , _ _ <br /> 6 <br /> T. Introductory Data , <br /> t Site Name (including. previous names)'. IAG <br /> B. Operator/Owner (including previous operators/owners <br /> names, mailing addresses, and telephone numbers) . <br /> • <br /> c C. Site location. Include map showing relationship to <br /> highways and nearby communities which specifies; <br /> 1 . Street Address (if available) . <br /> 2. Township, Range, Section, and fractional Section. <br /> 3. County Assessor' s Parcel Number(s) (if site located <br /> in urban area) . NA <br /> D. Describe whether the site is/was open to the - public, or <br /> is/was for private use only. <br /> E. Explain any present enforcement orders or Administrative <br /> Civil Liability Complaints. <br /> F. The following information shall be included for closed <br /> sites: <br /> NA <br /> 1 . Date closed. <br /> 2. Description of final treatment procedures which were <br /> used for the wastes in the waste site, if <br /> applicable. <br /> 3. Description of final cover and other closure <br /> related improvements. <br /> G. Provide certification by a qualified person- as to <br /> accuracy and completeness of SWAT Proposal , Report, or <br /> waiver together with statement of their qualifications , <br /> including certifier' s signature, Registration(s) or <br /> Certificate Number(s) . (Water Code , Section 13273(b) ) . <br /> r <br /> II. Site Information <br /> A. Operators who own or operate classified waste sites <br /> pursuant to Section 2596 (a) ( 1 ) shall submit detailed <br /> e w4A , <br /> ot <br /> wri*-,n rn <br /> 01 _ e 0 VVIKA • <br />