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Site Identification Form (SIP) <br /> (See LEA Advisory No.3 -for Guidance) <br /> Tnitt�ii YTareofFiel � i 7/12/2010 N <br /> ..�? aT+, rr���,,�-:; <br /> N� Morada Produce Co. <br /> San JoaquinNearestTouv�prl t Linden <br /> ISBN- <br /> ite�Address 4700 Block S. Jack Tone Rd. SWL 39-AA-0053 <br /> 18102036 <br /> :oIlgltlideJr 'Degree51, Second} 1}� .. <br /> Land Owner Information. <br /> Land Owner Name Robert and Maria Castellanos <br /> Address 11003 S. Jack Tone Rd. <br /> Citi . StocktonState CA Zip 95215 <br /> Phone (209)462-8322 Fax <br /> = <br /> 4t£rk £ 1;:y�s £k�ll£y'� �`'x, 5`•;na'.. *:...,.,. `e...,.E;+.Sn,.as,'r':e:.'� ,'¥��CyY"4'S:`+ tii wt t5..§' <br /> (� w <br /> bN ( e. n SeasonalU <br /> N/A <br /> ?.�jt,3,i* `/`1/ .�, ,^ x Sys <br /> N alt o1.ti41. .�f' .r ,�*..1, N/A <br /> h.: <br /> 111 p.eG ., , 7/12/2010 <br /> ti, cY annually '�. ;.. <br /> a . <br /> con krequetfcReductdnI2equesi Y Dtt� cequest4' 01/10/11 <br /> I�racking Sstern Approye't ; ` Lafo ►piral :,,u,u 3 <br /> ieT e 2136r � �Iam ga Dmpytte ` x f tJter exempt <br /> u <br /> runciin Land'ase omp�� iitetxa c(utnai x tither agricultural <br /> Comments/Recommendafions: . <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 Sfaf #Name Benjamin Escotto Si `afure ' Date ` U1(1 <br /> CIWMB STAFF ONLY: <br /> Reviewed By Date <br /> Enter hi To S.WIS By Date <br />