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SU0005892 SSCRPT
EnvironmentalHealth
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SU0005892 SSCRPT
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Last modified
5/7/2020 11:31:51 AM
Creation date
9/5/2019 11:18:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005892
PE
2660
FACILITY_NAME
PA-0600023
STREET_NUMBER
2269
Direction
S
STREET_NAME
HOLLENBECK
STREET_TYPE
RD
City
STOCKTON
APN
18317010
ENTERED_DATE
1/24/2006 12:00:00 AM
SITE_LOCATION
2269 S HOLLENBECK RD
RECEIVED_DATE
1/24/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HOLLENBECK\2269\PA-0600023\SU0005892\SSC RPT.PDF
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EHD - Public
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Surface&Subsurface Contamination Reporf,Checklist: <br /> NOA Project Number: E05167A <br /> Page 3 <br /> 9. Is there observed evidence that fill dirt has been brought onto the site which originated <br /> from a contaminated site or an unknown location? <br /> �— Yes ❑ No ❑✓ <br /> 10. a. Is there observed evidence of pesticides, automotive or industrial batteries, or other <br /> chemicals being stored or used at the property? <br /> Yes © No❑ chemical buckets stored near shed on asphalt. <br /> b. Within 250 feet? <br /> Yes ❑ None observed FvJ <br /> 11. a. Are there any industrial drums or sacks of chemicals observed on the subject <br /> property? <br /> Yes ❑ No FvJ <br /> — b. Within 250 feet? <br /> Yes❑ None observed ❑✓ <br /> 12. a. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> Yes ❑ No ❑✓ <br /> b. Within 250 feet? <br /> Yes❑ None observed <br /> 13. Identify any surface waters observed within 1,000 feet of the subject property. <br /> irrigation ditch around northern and western property line <br /> 14. a. Identify the potable water supply source: <br /> ❑ Public Water System ❑ None <br /> FvJ Private Well ❑ Not observed <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes© No ❑ <br /> 15. Identify the sewage disposal system: <br /> F] Public Sewer System ❑ None <br /> © Private Septic System ❑ Not observed <br /> 16. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes❑ No ✓❑ <br />
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