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RT <br /> S6 IDENTIFICATION F <br /> trach additional description or explanation as needed.) <br /> (A <br /> Initial I.D. (Y/1N): Y Follow-up Investigation (Y/N <br /> SITE INFORMATION <br /> Site Name: 13(L-L- L-&,5- Du&4P <br /> AKA: <br /> SWIS #: County: S 1p-. Caunry Parcel #(s): <br /> Location: 131—ell k A,-.I T-sc,-/ &4,� S ,dam mer 2rL <br /> Zinc u e aeon or Map with ow ip Range,an action as arc Map.) <br /> Land Owner A I L <br /> Address: 13201 <br /> City: _State: C,4 Zip: 9h Phone: <br /> Types of Waste: ert Res.; Com., ° Indust., Haz., Liquid <br /> Site.Type: egal unpin , Landfill, Burn D m Treatment Unit <br /> Disposal Area (Acre): . - Date:- <br /> Dates <br /> WDR Number: <br /> Dates of Operations: dw,wdiuly Closure Approved By: /f//,+ <br /> LAND USE ON OR WITHIN 1000 Er 1 MILE OF WASTE BOUNDARY <br /> Rural: s No Yes No <br /> Residential: No es No 5 1 <br /> Commercial: Y No No <br /> Industrial: No Yes) No <br /> Environmental Sensitive: YesZ Y tiNo <br /> Water Supply Wells: es , No Yes o <br /> Surface Water Bodies: es o No <br /> Inhabitable Structures: a, No Y No <br /> Enclosed S tructures: es No Yes • No / <br /> Planned Improvements: Yes es o <br /> OBSERVATIONS <br /> Date of Field Visit: a Sig. Change Since Last Visit? (YIN/NA): I✓1 <br /> Surface Condition: dor l 5�►- cc- <br /> Landfill Gas: <br /> Leachate: <br /> Other: BE WA96 6F 0UIN— Po A.b7_ (o 6A PRaAVRT`I-6w�l{,�s ag, <br /> RECOMMENDATION <br /> Emergency Response: &p - <br /> I <br /> Other (e.g. small scale illegal dumping that warrants removal): NO <br /> Reassess Site? (Y/N/NA): No Further Action? (D Priority Y/N): P/ <br /> Priority for Site Assessment (High/Med/Low): lai-A 2 <br /> Prepared By: `Co Date:. <br /> CIWMB Approval: C&R Bran Compliance <br /> C1WMB Closure and Remediation Branch(Rev.3710/93) <br /> Board Approved=/93) <br /> i • <br /> a <br />