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Site Identification Form (SIP) <br />(See LEA Advisory No. 3 - for Guidance) <br />Initial I.D. (Y/N) I N I Date of Field Visit 1 12/30/20 10 I Follow-up Investigation (Y/N) I N <br />Site Information: <br />Name <br />Snyder Sanitary Garbage Disposal Site <br />AKA 1 <br />Lynch and Bill Lane Dump <br />County <br />San Joaquin <br />Nearest Town/ City <br />Stockton <br />Site Address <br />S23 Us Me Mdb&M, Escalon, CA <br />SWIS # <br />39 -CR -0031 <br />Zip <br />Surrounding Land Use: <br />95320 <br />A <br />249-060-13; 249-060-14; 249-060-12; <br />249-060-10. <br />Latitude:Degree <br />Minute SecondGPS <br />Longitude: Degree <br />Minute Second <br />Map <br />Land Owner Information: <br />Land Owner Name <br />1. Peter Palomino. 2. Bruce Beard. 3. Richard L. Evans, aka Mick Evans. <br />Address <br />1. 23023 S. Santa Fe Rd., Escalon, CA 95320. 2. 23021 S. Santa Fe Rd., <br />Escalon, CA 95320. 3. 23701 S. Santa Fe Rd., Escalon, CA 95320.4. 22865 S. <br />Henry Rd., Escalon, CA 95320. <br />City <br />State Zip <br />Phone <br />Fax <br />Site Specifications: <br />Dates of Operations N/A Closure Date <br />Closure Plan (Y/N) <br />N Date of Closure Plan <br />Inspection Frequency <br />quarterly I Date <br />12/30/2010 <br />Inspection Frequency Reduction Request (Y/N) <br />N I Date of Request <br />Tracking System Approved I I Date of Approval <br />Site Type: 2136 Burn Dump x Illegal Dump Site I x I Other CIA site <br />Site Category: I A <br />B C D I Category Date <br />Surrounding Land Use: <br />Commercial I x I Residential Industrial I x I Other Agricultural <br />Comments/ Recommendations: <br />EHD is recommending a change in the inspection frequency for this site from annually to quarterly in <br />accordance with Title 14 California Code of Regulation, Section 18083 (a) 4. <br />LEA Staff Name I Natalia Subbotnikova Signature 1.2,1, ,KZ,—j Date <br />CIWMB STAFF ONLY: <br />Reviewed By Date <br />Enter In To SWIS By Date <br />