Laserfiche WebLink
O a <br /> A.nAcHME VZ b <br /> SITE IDENTIFICATION , FOR <br /> (Attach additional description or explanation as needed) <br /> INITIAL I.b. (Y/N): tJ FOLLOW-UP INVESTIGATION (Y/N): N <br /> SITE INFOn ATION <br /> SITE NAME: t r <br /> Ic <br /> AKA: a I.1 c.wa .a� ., <br /> SWIS #: 31-A 4 -odQ3COUN -1 a v`'� PARCELV(s): <br /> LOCATION: o C . t= <br /> (Include Location or Quad. Map with Townsi , Range and Section, and Parcel Map) <br /> LAND OWNER(s): 5c,.. oq ot., Ga.,.-Ic <br /> ADDRESS: P. Q, Rtwbio 5 0l <br /> CITY: -�� TAT • C Z111: PHONE;Kc_>4tc�8- deb <br /> TYPES OF WASTE: INE , llS ., HAZ.(IIQUI __X- <br /> SITE <br /> GSITE TYPE: ILLEGAL DUMPING, URN DUMP, TREATMENT UNIT <br /> DISPOSAL AREA (ACME): t I 'z SWFP t) tE:. 3 ---8 WDR NUMBER: s -0 8g i <br /> DATES O1=OPLIIATIONS: — /o CL E APPROVED SY: <br /> LAND USE UN O" WITHIN IL. OF WASTE SOUNDA11Y <br /> RURAL <br /> W�a.& <br /> MESIbENTIAL: <br /> COMMERCIAL: No <br /> INDUSTRIAL: YES Go_ <br /> ENVIR0NMENIAL SENSITIVE: . YS NO , YES NO <br /> WAtER SUPPLY WELLS: <br /> SUIVAOE WATER BODIES- N <br /> INHABITABLE STRUCTURES: A90 YESNO <br /> ENCLOSED StaUCTunES: _ <br /> PLANNED IMPROVEMENTS: YES N NA <br /> OBSEgVAtIONS <br /> DATE OP FIELD VISIT: 3.1h• VS SIG.CHANGE SINCE LAST VISIT? (Y/N/NA) N <br /> SURFACE CONDITION: s � a--O� �► s,�-� J' <br /> LANDFILLGAS: uIG <br /> LEACHATE: n <br /> OTNERQ I o- <br /> RECOMMENDATION <br /> EMERGENCY RESPONSE: n <br /> OTHER (e.g. small scale illegal dumping that warrants removal): <br /> REASSESS SITE? (Y/N/NA): NO FURTHER ACTION? (D PRIORITY Y/N): <br /> PRIORITY FOR SITE,A SESSENT (High/ Low):c.las,-re ptw.S hoc), <br /> PREPARED BY: V)L DATE: 3-R • 9 3 <br /> CIWM8 APPROVAL: C&R BRANCH COMPLIANCE <br /> CIWMB Closure and Remediation Branch (1/25193) <br />