Form CalRecycle880 "Site Identification Form (Sip)" - California

Form CalRecycle880 Printable Pdf
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What Is Form CalRecycle880?

This is a legal form that was released by the California Department of Resources Recycling and Recovery - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2017;
  • The latest edition provided by the California Department of Resources Recycling and Recovery;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CalRecycle880 by clicking the link below or browse more documents and templates provided by the California Department of Resources Recycling and Recovery.

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Download Form CalRecycle880 "Site Identification Form (Sip)" - California

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State of California • Department of Resources Recycling and Recovery (CalRecycle)
Site Identification Form (SIP)
CalRecycle 880 (Revised 1/17) (See LEA Advisory No. 3 - for Guidance)
Initial I.D.:
Yes
No Date of Field Visit:
Follow-up Investigation:
Yes
No
Site Information:
Name:
AKA:
County:
C ounty Nearest Town/City:
Site Address:
ZIP:
SWIS #:
APN:
Latitude, Degree:
Minute:
Second:
GPS
Longitude, Degree:
Minute:
Second:
Map
Land Owner Information:
Land Owner Name:
Address:
City:
State:
ZIP:
Phone:
Fax:
Site Specifications:
Dates of Operations:
Closure Date:
Closure Plan:
Yes
No
Date of Closure Plan:
Inspection Frequency:
Date:
Inspection Frequency Reduction Request:
Yes
No
Date of Request:
Tracking System Approved:
Date of Approval:
Site Type:
2136
Burn Dump
Illegal Dump Site
Other:
Site Category:
A
B
C
D
Category Date:
Surrounding Land Use:
Commercial
Residential
Industrial
Other:
Comments/ Recommendations:
LEA Staff:
Signature:
Date:
CalRecycle Staff Only
Reviewed By:
Date:
Enter In To SWIS:
Date:
Clear
Print
State of California • Department of Resources Recycling and Recovery (CalRecycle)
Site Identification Form (SIP)
CalRecycle 880 (Revised 1/17) (See LEA Advisory No. 3 - for Guidance)
Initial I.D.:
Yes
No Date of Field Visit:
Follow-up Investigation:
Yes
No
Site Information:
Name:
AKA:
County:
C ounty Nearest Town/City:
Site Address:
ZIP:
SWIS #:
APN:
Latitude, Degree:
Minute:
Second:
GPS
Longitude, Degree:
Minute:
Second:
Map
Land Owner Information:
Land Owner Name:
Address:
City:
State:
ZIP:
Phone:
Fax:
Site Specifications:
Dates of Operations:
Closure Date:
Closure Plan:
Yes
No
Date of Closure Plan:
Inspection Frequency:
Date:
Inspection Frequency Reduction Request:
Yes
No
Date of Request:
Tracking System Approved:
Date of Approval:
Site Type:
2136
Burn Dump
Illegal Dump Site
Other:
Site Category:
A
B
C
D
Category Date:
Surrounding Land Use:
Commercial
Residential
Industrial
Other:
Comments/ Recommendations:
LEA Staff:
Signature:
Date:
CalRecycle Staff Only
Reviewed By:
Date:
Enter In To SWIS:
Date:
California Department of Resources Recycling and Recovery California Legal Forms United States Legal Forms

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Form CalRecycle880 Printable Pdf
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