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-- ATTACHMENT 2 <br /> SITE IDENTIFICATION , FGR - <br /> (Attach additional description or explanation as needed) <br /> INITIAL I.D. (Y/N): FOLLOW-UP INVESTIGATION (Y/N): <br /> SITE INFORMATIO <br /> SITENAME: 'S ®sot Co. <br /> AKA: t- w tr wa c- s s "j[.. ' <br /> SWIS : a -D®1-COUNTY: y i r. PARCEL#(s):o ®Zo- <br /> LOCATION:- %-Z - v'r O <br /> (Include Location or Quad. Map with Township, Range and Section, and Parcel Map) <br /> LANb OWNER(s): J: a GG, <br /> ADDRESS: E- ur dt519 <br /> CITY. d TATE: GA- IP: 5-2--q t PHO a®y ti-- 2 7 q <br /> TYPES OF WASTE: INERT R NDUS , HAZ., (QUID <br /> SITE TYPE: ILLEGAL D PIN NbF LL URN DU TREATMENT UNIT <br /> DISPOSAL AREA (ACRE): caSWF DATE: WDR NUMBER: <br /> DATES OF OPERATIONS: ? Ri CLOSURE APPROVED BY: <br /> LAND USE ON OR WITHIN noo FT I MILE OF WASTE BOUNDARY <br /> RURAL, Y0 YES NO <br /> RESIDENTIAL: . Y N <br /> COMMERCIAL: Q <br /> INDUSTRIAL: S)NO YES NO <br /> ENVIRONMENTAL SENSITIVE: NO Y -S NO <br /> WATER SUPPLY WELLS: <br /> SURFACE WATER BODIES: 0 N <br /> INHASITASLE STRUCTURES: YE N0 rYE O <br /> ENCLOSED STRUCTURES: <br /> PLANNED IMPROVEMENTS: NA <br /> oSERVATIONS <br /> DATE OF FIELD VISIT:- t4 '13 _SIG. HA�1 CE LAST VISIT /N/ ) ` <br /> SURFACE CONDITION: o ,aps <br /> LANDFILL GAS: <br /> LEACHATE: <br /> ®® s /4.1 <br /> OTHER:, Mq& d <br /> y.K Y t G A �l1 l h 1 O d M <br /> RECOMMENDATION <br /> EMERGENCY RESPONSE,. 02 <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 S ESSMENT (High/Med/Low): <br /> PREPARED BG <br /> Y: • DATE:�3 -2 -9 <br /> r <br /> CI S APPROVAL: C&R BRANCH COMPLIANCE <br /> sa .� r fro"`A•eo -row �� , cai 4s ��1 s 5, Nc. <br /> cims closurA nd Flamed Branch i/25/93) <br />