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SU0004557 SSCRPT
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SU0004557 SSCRPT
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Last modified
5/7/2020 11:30:54 AM
Creation date
9/6/2019 10:53:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004557
PE
2622
FACILITY_NAME
PA-0400363
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
APN
02120022
ENTERED_DATE
7/14/2004 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
RECEIVED_DATE
7/13/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\21850\PA-0400363\SU0004557\SSC RPT.PDF
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EHD - Public
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cq4 1N SAN JOAQUIN COUNTY <br /> .. =� ENV SAN <br /> HEALTH DEPARTM*eT <br /> 304 E Weber Avenue 3d Floor Stockton• CA 95202-2708 <br /> (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.uS/ehd <br /> 4GIF0FN <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> SITE LOCATION: 22660 E.LIBERTY RD., CLEMENTS, CA <br /> REPORT DATE: JUNE/12004 <br /> Section Comments <br /> 1.1 Report failed to address convenience store, boat and mobile home storage. Include <br /> discussion in body of report. Include in an addendum. <br /> 1.3 Submit legible maps. Include in an addendum. <br /> Include documentation as to when owner was interviewed. A formal questionnaire can be <br /> 2.1 used in providing this information. Provide information owner stated in your discussion with <br /> the use of the property. Include in an addendum. <br /> 3.1-3.5 Provide documentation of EHD records review, provide date of on-site inspection, was there <br /> any review of any global information, EDR? Include in an addendum. <br /> 4.1 Include discussion of future use as it may pertain to concern of any contaminant. Include in <br /> an addendum. <br /> 5.1 See above comments. <br /> 5.3 Copies of signatures and wet-seal stamps are not acceptable. Provide originals. <br /> 5.5 Copies of Lines of equal depth/elevation to/of groundwater levels are not legible. APN map <br /> is difficult to read. Submit legible copies. <br /> An original checklist is being provided. <br /> EHD 26-02-001 Page 2 of 2 Surface&Sub Checklist <br /> 7/142003 <br />
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