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-- 1TTACHMENT 2 <br />SITE IDENTIFICATION <br />(Attach additional description or explanation as needed) <br />INITIAL I.D. (Y/N): 7 FOLLOW-UP INVESTIGATION (Y/N): N <br />SITE INFORMATION L <br />SITE NAME: <br />AKA: �-- /?�=e7o-t� <br />SWIS #. COUNTY: �Q 1' arr > _ PARCEL #(s): 17 !7 d - l 1 0 <br />LOCATION: ?IYv' 6 ��S .... �'4 m Q�3 <br />(Include Location or Quad. Map with township Range and Section, and Parcel Map) <br />LANDOWNER(s): G®k4, lOf Gl-a <br />ADDRESS: a®4�/ Nov Ol <br />CITY: Sia f STATE: ee ZIP: ?_ a-oCo PHONE:, 9%S- 020TYPES OF WASTE: INERT, RES., COM., INDUST., HAL, LIQUID <br />SITE TYPE: ILLEGAL DUMPING, LANDFILL, BURN DUMP, TREATMENT UNIT <br />DISPOSAL AREA (ACRE): ? SWFP DATE: NA WDR NUMBER: �R <br />DATES OF OPERATIONS: int? -19-g CLOSURE APPROVED BY: <br />i i, Lem <br />LANDFILL GAS: <br />r' <br />Lei + <br />SINCE LAST VISIT? (Y/N/N/A) /►/%A <br />:11 - _-Is1..LA.—n' w 01 M4 A,An_1A a% 1.44 <br />RECOMMENDATION <br />,jkTM%jTMeGY . •'. <br />OTHER (e.g. small scale Illegal dumping that warrants removal): /7l <br />PRIORITYREASSESS SITE? (Y/N/NA): C' NO FURTHEH AU <br />O. SITE ASSESSMENT (High/Med/Lo <br />PREPARED <br />+ .: i+ r + • z DATE: <br />r. <br />. <br />APPROVAL: C&R BRANCH Cb-M-PLIANCE <br />CIWMB Closure and Ramediation Branch (1/25/99) <br />