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. ~D WASTE FACILITY INSPECTION <br />(Landfills) <br />County ~ f /J> l/T DATE /0 3 Located in <br />Facility •~ ~ Incorporated Area <br />Location 6 ~ i 'S~ <br />Current Operator <br />Mailing Addreae of Operator U - ~o gOSt ~ <br />Current Owner (If different) <br />Mailing Addreae of Owner Su M w <br />a w ~ ~A ~~ ~ ~ ~ IY <br />(All items checked must be explaind in supplemental report) <br />I. Public Realth and/or Environmental Aazarda <br />_ A. <br />_ B. <br />_ C. <br />D. <br />E. <br />+_ F. <br />_ C. <br />_ H. <br />I. <br />Public Health and/or Environmental Hazards <br />Evidence of Potential for (Serious) Surface Water Pollution <br />Evidence of Potential for (Serious) Groundwater Pollution <br />Surface Diversion/Containment Facilities Inadequate or not <br />Maintained <br />Landfill Gas Migration Concerns <br />Sludge or Septic Pumpinga Disposal on Site (Dnauthori::ed) <br />Operating Records not Maintained on Site <br />Non-Compliance with Approved Design and Operation <br />Other <br />II. Minimum Standards, CRS 30, 20-110 <br />A. Cdors and/or Vectors Present <br />Y B. Inadequate and/or Irregular Cover <br />_ C. Inadequate Fencing (to control access and windblown debris) <br />_ D. Burning apparent <br />E. Not Designated and/or Improperly Zoned <br />III. Reaarks <br />V~~r Goo riQit .~h !>.~ <br />--z , <br />(Name) PRESENT AT INSPECT/JION (Representing) <br />~•~ G?OSS/rJANN LAOiMiTlJ `U I~Q ,dl~~ <br />Inspection Engineer/Geologist 1 0 G , ~ ~p/J ~SP.!/ <br />(WHITE COPY-FILE) (YELLOW COPY OPERATOR) (PINK COPY-COLRrTY) <br />