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...4---.:�`1 j p -/���SOLID WASTE FACILITY INSPECTION FORM (� <br /> Departmetnt of Natural Reeoces •C� j�Form 4400-104 <br /> j. INSPECTION SUMMARY <br /> Name of Facilit ❑ Active 1• W�violations detect 7 <br /> . AG-. ,eGr/— _ Yes No - <br /> J'rase No. County_ G_ Diatri,,��.�/ ` ' 2. If yes,what action was taken? <br /> ( D.7 /44/6 . . o1At N Phone ❑ Letter ❑. <br />• s 0Ais No Action ❑ <br /> Facility ID No. In Person <br /> Facility Contact �... . /'e _ <br /> • Eu6 MI6. : 5,k/9A 3. Licensee cop , ' ed 7 <br /> '. <br /> Data Time # Photos Date •/ 307i( <br /> 00 a Ai Lfs <br />> SITE.EVALUATION "`.. " ""' <br /> Yea lem VioL IN DD Comments <br /> 1. Appropriate sign,gate,attendant and firebreaks • <br /> 2. Control of rodents and insects : ' ; 44/ <br /> 3. Windblown litter control/dust control <br /> � <br />• 4. Confinement of active area N'�T V <br /> Y _ -'-iiliv-i <br />— 3. Adequate covering and compaction - <br /> 6. Diversion of surface water away from active area <br /> 7. Absence or control of surface seeps r 4'J-A/..4 ft <br /> 8. Open burning in compliance V /A . <br /> 9. Unauthorized waste absent <br /> V - • <br /> 10; Maintenance of monitoring devices X <br /> ' (wells,gas Drobes,lvsimeters) �/ <br />• 11. Maintenance of access roads to active area r �. ; <br />' 12. Vegetative stress/gas migration N/ <br /> n. Maintenance of leachate handling system (1A j. (head levels.Dumps) • <br /> • <br /> • 14. Other ) , • <br /> NA = not applicable;ND = not determined <br /> ADDITIONAL COMMENTS 6:' / / / _ <br /> / i. / / ---// / i 4- /� <br /> t .� Cam/�•- i <br /> 4 - i-1,i, ice ,C�vt-i.=i6,1,e ` -tx <br /> .E l�� - <br /> ', fir. /. a ......A.-.... � ��� � �.- _ <br /> / 1 / / <br /> ✓ L_ L/ ' /LPL <br /> mot/ • _ -- - - - -- - <br /> j ,` <br /> �/ _ • �/ I <br /> - / L./ <br /> 10 a A°I r <br /> Signature of NR Inspector <br /> • <br /> I • <br /> • / <br /> LICENSEE COPY <br />