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S 14�,%4 �IkD EPC <br />� �.� <br />'e`'P W ���a 0 ATTACHMENT 3 <br />SITE ASSESSMENT DATA FORM <br />(Attach additional description or explanation as needed <br />or include in comment Section VII.) <br />I <br />I. DISPOSAL <br />SITE CHARACTERISTICS <br />No�fN <br />-w <br />13 AL 0.1) <br />t„� A 8- 0 01jll <br />A. Waste Area(s) Dimensions <br />__A WE A <br />A, 4(,4 <br />f,�rtS <br />—Gi 2{. 20 <br />—��r <br />T T re k' .Qj <br />1. <br />Area and Volume (acre and yd3):; "^'� <br />unJlCno <br />^' <br />2. <br />Estimate Maximum Depth of Waste (ft): <br />41� 15' <br />A'4' <br />3. <br />Estimate Average Depth of Waste (ft): <br />uo <br />u.JKwjv»�.� <br />B. Soil Type (check appropriate soil type) <br />Native Cover <br />1. Clay, silt, loam (low permeability): <br />2. Sand, pebble (medium permeability): <br />3. Gravel, cobble, rocks (high permeability): <br />C. . Mean annual precipitation (in): 2 -Year 24 -Hour (in): <br />D. Estimated separation between waste and groundwater (ft): <br />E. Is waste area within a 100 year flood plain? (Y/ <br />F. Show the following items on a site map(s): <br />1. Property boundaries <br />2. 'Haste disposal area(s) bou;idary <br />3. Structures on or within 1000 ft. of waste <br />4. Topographical Contours <br />5. Access points and roads <br />6. Site security systems <br />7. Surface water bodies and drainage patterns <br />8. Monitoring and control systems <br />9. Areas where landfill gas migration was detected <br />10. Areas where leachate migration was detected <br />G. Provide a chronological list of enforcement actions for the site <br />Nm l l Y. Il 1 1�� f •t i t w 7 i y: i`R I K__ I h [ �G��Q C !�- C d :'• <br />/L4 �rtt 4L NA LY ✓1/1 !JY\ LZ7T77 /'.��� <br />Page 1 of 4 <br />CIWMB Closure and Remediation Branch (1/25193) <br />