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SU0012013
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SU0012013
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Last modified
6/24/2021 9:12:06 AM
Creation date
9/6/2019 10:36:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012013
PE
2656
FACILITY_NAME
PA-1000267
STREET_NUMBER
17590
Direction
S
STREET_NAME
KELSO
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391-
APN
25803001
ENTERED_DATE
10/9/2018 12:00:00 AM
SITE_LOCATION
17590 S KELSO RD
RECEIVED_DATE
12/19/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KELSO\17590\PA-1000267\SU0012013\APPL.PDF \MIGRATIONS\K\KELSO\17590\PA-1000267\SU0012013\EH PERM.PDF \MIGRATIONS\K\KELSO\17590\PA-1000267\SU0012013\EHD COND.PDF
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EHD - Public
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SANcJOAQUIN Environmental Health Department <br /> " COUNTY — Linda Turkatte, REHS, Director <br /> •,cqr Greatness grows here. Kasey Foley,REHS,Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellan, REHS <br /> Jeff Carruesco, REHS,RDI <br /> Willy Ng,REHS <br /> Muniappa Naidu, REHS <br /> December 31, 2018 Michael Kith, REHS <br /> To: San Joaquin County Community Development Department <br /> Attention: John Funderburg <br /> From: Naseem Ahmed; (209) 468-3436 <br /> Environmental Health Specialist rjlt` 1� <br /> RE: PA-1000267 (RA), S00012013 <br /> 17590 S. Kelso Rd, Mountain House <br /> The following requirements have been identified as pertinent to this project. Other requirements <br /> may also apply. These requirements cannot be modified. <br /> A. A qualified environmental professional shall prepare a surface and subsurface <br /> contamination report identifying any potential source of surface or subsurface <br /> contamination caused by past or current land uses. The report shall include an evaluation <br /> of nonpoint source of hazardous materials, including agricultural chemical residues, fuel <br /> tanks, septic system or chemical storage area and a site assessment prepared in <br /> accordance with ASTM standards to assess the presence of any fuel, pesticide, herbicide <br /> or chemical residue on or under the soil that is listed on the State or Federal list of toxic <br /> materials. The report shall be submitted to the Environmental Health Department prior to <br /> recordation of final map. (San Joaquin County Development Title, Section 9-905.12 and <br /> Section 9-905.12M). <br /> The fee will be based on the current schedule at the time of payment. <br /> B. Open, pump, and backfill the septic tank, seepage pit or excavation under permit and <br /> inspection by the Environmental Health Department (San Joaquin County Development <br /> Title, Section 9-1110.3 & 9-1110.4). <br /> C. Destroy the abandoned well(s) under permit and inspection by the Environmental Health <br /> Department as required by San Joaquin County Development Title, Section 9-1115.5(e). <br /> D. Any geotechnical drilling shall be conducted under permit and inspection by The <br /> Environmental Health Department (San Joaquin County Development Title, Section 9- <br /> 1115.3 and 9-1115.6). <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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