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SU0000054 SSCRPT
EnvironmentalHealth
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2600 - Land Use Program
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MS-00-33
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SU0000054 SSCRPT
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Entry Properties
Last modified
11/25/2019 10:48:46 AM
Creation date
9/5/2019 10:42:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0000054
PE
2622
FACILITY_NAME
MS-00-33
STREET_NUMBER
11193
Direction
N
STREET_NAME
GOLFVIEW
STREET_TYPE
RD
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
11193 N GOLFVIEW RD
RECEIVED_DATE
9/18/2000 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\G\GOLFVIEW\11093\MS-00-33\SU0000054\SSC RPT.PDF
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EHD - Public
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None observed '! f <br /> iE F <br /> Within 200 feet? <br /> None observed 1 <br /> 10. Is there evidence that fill dirt has been brought onto the site-which originated from a + <br /> contaminated site or of an unknown origin? <br /> L' <br /> No <br /> 11. Is there evidence of any pesticides, automotive or industrial batteries, paints, or other <br /> chemicals being stored or used at the property? <br /> None observed <br /> Within 500 feet? <br /> None observed <br /> I: <br /> 12. Are there any industrial drums or sacks of chemicals located on the subject property? <br /> None observed <br /> i <br /> Within 250 feet? <br /> a <br /> None observed <br /> 13. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> None observed <br /> Within 250 feet? <br /> None observed <br /> 14. Identify any surface waters on the subject property within 1000 feet. <br /> None observed <br /> 15. Is there evidence that the subject property is serviced by a private well? <br /> Yes <br /> Evidence of a private well within 1000 feet? <br /> s <br /> None observed <br /> 16. Identify the potable water supply source:. <br /> Private Well <br /> 17. Identify sewage disposal system: <br />
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