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I V. Surface Conns <br /> A. Is site access adequately restricted?((�/N) <br /> B. I the waste adequately covered to prevent human contact? <br /> C Is the final drainage system for the site adequate to prevent erosion? <br /> (Y/ N <br /> D. Is the final grading adequate to promote run-off? (Y4 <br /> E. Are slopes greater than 3:1 (33% or 18 degrees)? (Y/N) <br /> F. Are slopes greater than 1.75:1 (57% or 30 degrees)? (Y/N) Llj4 <br /> V. Postclosure Land Use <br /> A. Has the land use of the site significantly changed since closure? <br /> (Y& <br /> If yes, include or reference site improvement plans and answer the following: <br /> 1. Give the date that the improvements were constructed <br /> 2. Have the improvements compromised the integrity of the final <br /> cover? (Y/N/NA) <br /> 3. Has differential settlement affected the improvements? (Y/N)— <br /> B. Is there a proposed change in postclosure land use that may jeopardize <br /> the integrity of previously closed sites or pose a potential threat to public <br /> health and safety or the environment? (Y/@ <br /> If yes, briefly describe the proposed project: <br /> C. Is there a postclosure land use tracking system? <br /> If yes, describe tracking system: <br /> V1. Dispose', Site Priority (See PrIaritizatinn Chart) <br /> A1: A2:_A 3: B 1:—B 2:—B 3: C 1:_C 2:—C 3- )( D <br /> V11. Comments <br /> L�_Ul_ A C&7�q DATE- lql, <br /> PREPARED BY: <br /> BRANCH REVIEW: <br /> CIWMB CLOSURE AND REMEDIATION BRANCH APPROVAL: <br /> Page 4 of 4 <br /> CIWMB Closure and Remediation Branch(1/25193) <br />