Laserfiche WebLink
Site Identification Form (SIP) <br /> (See LEA Advisory No.3 -for Guidance) <br /> In1ta1 Y Date,oi Fied YAsxt }; 7/9/2010 Fs41 upi� stigahon+±S'!N} N <br /> u <br /> w Martin Dairy <br /> owl <br /> .,. ... n <br /> San Joaquin scalon <br /> StteAdcles 7532 S.Henry Rd.,Farmington SWTS# 39-AA-0048 <br /> ZX 95230 APN � . 18741005 # <br /> TaldeI `ee -�Imo{riut Second" <br /> T oTlitllC� Degree< 3Y t 1311e 7 1"' U777 " .dp <br /> s <br /> Land Owner Idf®rmahon�r <br /> Land Owner Name : Elsie B. Martin <br /> Address 7532 S. Henry Rd. <br /> City;` Farmington State CA Zip 95230 <br /> Phone (209) 847-2473 Fax (209) 848-4838 <br /> SeCli + s Y <br /> ♦ (, § t` f t �vt>t <br /> Dateans}um <br /> seasonal Closuz N/A <br /> l u �l N Date of C,lgsure 'ian N/A <br /> Insection:Fregiency annually Date 7/9/2010 `a <br /> „ .. <br /> ise�iioqueucy,Recttiction Request(YCIN Y Tale of Request' 01/10/11 <br /> Traci g�` ystet�Appraved� j�` Date..::of A�jrov�l <br /> reType 2 {36 "#t Bznump Illegal Durtip Site x Other exempt <br /> S,urrQuudin'�arid iJe Comtrielcza ,Residential Industrial' x '(7tle agricultural <br /> Comments!Recommendatibns „ <br /> The site is only active during the cannery season (July-October). There is no reason to conduct an <br /> Inspection out side that date range because there is no site activity. <br /> LEA Staff Name';;1 Benjamin Escotto i natureBern Date i 11 11 <br /> CIWMB STAFF ONLY: <br /> Reviewed By ',I�`ate <br /> Enter Tri;Ta SWIS By Date <br />