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8 <br /> Site Identification Form (SIP) <br /> (See LEA Advisory No.3 -for Guidance) <br /> Initial II? (Y!N) N Date of Field visit 5/04/2010 N <br /> Name Lodi City Landfill AKA <br /> ; <br /> County San Joaquin eaest ow, City Stockton <br /> Site�Address��` N of Awani Dr and Mokelumne River Dr., Lodi,CA SWIS# 39-CR-0023 <br /> 95240 -�1 041-250-38; 041-410-01 a r <br /> atitude ,Dei e� Mmute` Second �, GPS `` <br /> M� owlILMMap <br /> Land.Owner Information: <br /> v.., <br /> Laid_Owner,Name Ci of Lodi <br /> ON .��:,' 1331 South Ham Lane <br /> City Lodi State: CA Zip 95242 <br /> Phone (209) 333-6740a ":. (209) 333-6841 <br /> Dates cionsr �, No longer being used Clos�I)0 <br /> ,.,,. . <br /> Closure , /l�T}.vn N Dade'of,Clssuie 'Ian , <br /> x u <br /> Irspectiori:Frequency quarterly Dates 5/04/2010 <br /> Irtspeetron Rrequenc Reduction Request(YIN} µ F:: N Dafe of Request <br /> Track�ri �s e �"A roved � ' Data of A 'rov`al� <br /> Site Typet36 ' .,M, xBurn Dump" Illegal Dum x t x Othe Old City landfill <br /> Site.:Categar�"�.i A �B `�C D' Categoiy Date'' _�' �� <br /> urroundiri LandTse , Comrliercial'.< x Residential '` Indusal x . Others; Agricultural <br /> Comments/Recommendations <br /> ,.. <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 StafName Natalia Subbotnikova -Si nature -'" - ,4,4 - Date "`` � i� & <br /> CIWMB STAFF ONLY: <br /> a <br /> Reviewed;By" Date <_.,. .. , <br /> Enter In To SWIS By Date . '�. <br />