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SU0003887 SSCRPT
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SU0003887 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:14 AM
Creation date
9/5/2019 11:16:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003887
PE
2622
FACILITY_NAME
PA-0300332
STREET_NUMBER
9249
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20707013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9249 S HENRY RD
RECEIVED_DATE
7/15/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\9249\PA-0300332\SU0003887\SSC RPT.PDF
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EHD - Public
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NOA ENVIRONME TAL JOB NUMBER LE03-161 <br />PROPERTY LOCATION: 9249 South Henry Road, Farmington, CA 95230 <br />Are there currently any structures on the property? d Yes❑ Ngo <br />To the best of your knowledge, have there been any structures on the O Yes �No <br />property in the past which have since been removed? <br />If the answer to either question is "yes," please answer the following: <br />For each existing building, please provide type of building and date of <br />original construction and any substantial renovations: <br />HeVgk r �L,o a v <br />2. For each building known to have been removed, please provide type <br />of building and approximate dates the building existed: ,,) 0 4_) <br />3 If known, please provide the name and phone number of the project <br />Arcbitect and Civil Engineer of the current facilities. <br />M ]` 6. U A re -r A 17 O,. r <br />4. Provide a brief description of development with property dimensions, <br />area, and acreage <br />rZA-j�C 14 bow x /600 <br />5. Are there currently, or to the best of your knowledge have there been 13 Yes ZI No <br />previously, any flooring, drains, or walls located within the facility that <br />are stained by substances other than water or are emitting foul odors? <br />6. If any buildings were constructed prior to 1980, is there currently or O Yes 3110 <br />was there previously asbestos in any of the construction materials <br />contained in the building(s)? <br />If so, has a survey been conducted to assess the type, amount, !ocation <br />and condition of asbestos? (Please attach a copy of any survey <br />report.) <br />ijyau have any quesdons about rhls questiannaire, pteasc contact Eric Rowley at (109)367-3701 7 & <br />
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