Laserfiche WebLink
03/30/2009 15:52 2099311105 APMASONRYTA&:1 PAGE 02/02 <br /> March 27,2009 <br /> FROM: Mr. John Polk <br /> 12750 East Liv Oak Road <br /> Lodi,CA 952 0 <br /> PROJECT: APNs 063-210 23,063-210-22, 10549 and 10749 North Jack Tone Road-San Joaquin County <br /> SUBJECT: Surface and Su surface Contamination Report Required by the San Joaquin County <br /> Environmental Realth Department. <br /> Please use the back of this doriadent,or seFparate paper if necessary. Please mail,e-mail or fax this document back <br /> to Chesney Consulting upon con a TrInk you. <br /> I. How long have you owT ed the property and is your ranch known by your name or any other nine?Who <br /> were the prior owners at d their length of ownership, if known? What activities have taken place and what <br /> is the proposed developi ncxkt of the property? P <br /> Length of Ownership an I Ranch Name(s) AN' <br /> Previous Ownership to you,and length of ownership, if laaown: <br /> Activities/Proposed De elopment: <br /> JA,45 <br /> 2. Is there, or has there ev r been to your knowledge,any tyrpe of above ground or underground storage t tiles <br /> on the subject property, or any type of buried containers. Are there any septic tanks on the property? <br /> 00 <br /> 3. Please provide a list of he Pesticides that have bc.p mipni, to the subject property acreagge in the past three <br /> years(Use separate Lis if convenient). Are pesticides/herbicides mixed on the proparty befoxe spraying. <br /> if so,where? How axe caticides/herbictdes applied to the sub'ect property(ground, aexiel)? Are there any <br /> wells(domestic And/or igation)on the property and do they gve backflow prevention devices tf used Cor <br /> filling of spray rigs? <br /> Pesticides/Herbicides Applied: 3f Q t —L <br /> Mixing Area Location() and Application Method: t <br /> i <br /> Wells: �/ I Backflow Prevention Devices: tj 17 <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if any? <br /> so ? O!>T <br /> 5. Are any hazardous mat rials stored,or previously stored on the property7 If so,wbere? Arc you aware of any <br /> hazardous material rete se on, or around your property? <br /> Hazardous Materials: <br /> Hazardous MaterialsR lease: �O �v�-�lVt� <br /> L>J+( of �ls�sFD c� y 12_ 10, t-'�( <br /> 6. Are ere any emenf. through the property,or any underground pipelines? O.J� IVA oar <br /> rl <br /> Signed " <br /> Date: ZO o <br /> Thank y u for your time. if thee should be any questions,please give me a call. <br /> S ncerel <br /> C}Jg$N ULTING <br /> 145`/fin_t � <br /> Don Chesneyy,A.E.A. <br /> Rcgistexed Envuonmenta Asse sor#4675 <br /> Agricultural Pest Contxo Advis it#6237 <br /> T. O. Box 3794 ' 7urfock, CA 95381 • Office (tog) 668-2403 ' ax (2o9) 668-2598 <br /> 1 <br />