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SU0004787 SSCRPT
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SU0004787 SSCRPT
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Last modified
5/7/2020 11:31:13 AM
Creation date
9/6/2019 11:10:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004787
PE
2611
FACILITY_NAME
PA-0400074
STREET_NUMBER
26850
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
GALT
APN
00503007
ENTERED_DATE
1/20/2005 12:00:00 AM
SITE_LOCATION
26850 N LOWER SACRAMENTO RD
RECEIVED_DATE
3/4/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\26850\PA-0400074\SU0004787\SSC RPT.PDF
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EHD - Public
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�oG SAN JOAQUIN COUNTY <br /> VEM�_,ONMENTAL HEALTH DEPARTMr,T <br /> h U1. .< <br /> .: 304 E Weber Avenue 3ra Floor Stockton- CA 95202-2708 <br /> �P (209)468-3420 - Fax:(209)464-0138 - Web: www.co,san-joaquin.ca.us/ehd <br /> SURFACE AND SUBSURFACE CONTAMINATION REPORT REQUIREMENT CHECKLIST <br /> SITE LOCATION: 26850 N. LOWER SACRAMENTO RD., GALT, CA PA#: 04-74(su) <br /> REPORT DATE: 2/18/2004 <br /> S = sufficient San Joaquin County Development Title Chapter 9-905,Section 9-905.12 <br /> I = Insufficient <br /> S I 1.0 INTRODUCTION & PROPnSED DEVELOPMENT SECTION <br /> ® ❑ 1.1 -ess all parcels), including current and/or proposed zoning information. <br /> ® ❑ 1.2 it. <br /> ® ❑ 1.3 <br /> ❑ ® 1.4 �„ p _ s on parcel. (Examples:structures, drives,wells, septic systems, large trees, <br /> f rses, ponds,waterways, etc.) <br /> 2.0 P OSED FUTURE USES OF THE SITE SECTION <br /> ® ❑ 2.1 M__4-�mn-ot past, present and proposed future uses at the site to assess potential problems. (Example sources <br /> of information: current and/or previous property owners, historical maps, insurance maps, previous land use <br /> applications,etc.) <br /> 3.0 IDENTIFICATION OF ALL PAST AND CURRENT SOURCES OF CONTAMINATION <br /> ❑ ® 3.1 Discussions of the methods used to research and investigate the potential or known above and belowground <br /> sources of contamination at the project site. (Examples: Database search, EHD records search, agricultural <br /> chemical application search, site reconnaissance and survey,etc.) <br /> ® ❑ 3.2 Description of all past on-site potential and/or known above and below ground sources of contamination identified <br /> at the project site. (Examples: Agricultural chemical handling/storage/use,aboveground/underground tanks, <br /> septic systems, injection wells, unsealed wells, ponds/lagoons,vehicle/machine repair/painting,buried or <br /> stockpiled solid waste,etc.) <br /> ® ❑ 3.3 Description of all current on-site potential and/or known above and below ground sources of contamination <br /> identified at the project site (see examples above). i <br /> ® ❑ 3.4 Description of all past off-site potential and/or known above and below ground sources of contamination identified <br /> in the area of the project site that has or may impact the project site. (Examples: Close proximity to a former <br /> landfill/former gasoline station, in area of known DECP/Nitrate groundwater impact, etc.) <br /> ® ❑ 3.5 Description of all current off-site potential and/or known above and below ground sources of contamination <br /> identified in the area of the project site. <br /> 4.0 EVALUATION OF PAST AND CURRENT SOURCES OF CONTAMINATIO IDENTIFIED <br /> AT OR NEAR THE SITE AND RECOMMENDATIONS FOR FURTHER ACTION <br /> ® ❑ 4.1 Evaluation of each potential and/or known source of contamination identified (in the above section)for any real <br /> and/or potential threat to human health and the environment. This evaluation should take into consideration the <br /> proposed future uses of the project parcel. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ® ❑ 5.1 Discussion of the above evaluation to either rule out each source as a real or potential threat or to recommend <br /> further action to mitigate or abate any real or potential threats identified. Recommendations may include <br /> additional site assessment(i.e. collection of soil/Water samples)and/or mitigative measures (i.e.,clean up of <br /> surface wastes). All recommendations for future work must include a time frame for implementation. <br /> ® ❑ 5.2 The report was inclusive (i.e. all information referenced was included in this report—report should not reference <br /> other reports). <br /> ® ❑ 5.3 The report was signed, dated and stamped by a qualified environmental professional. <br /> 5.4 The report was prepared within six months of the date of the submittal of the land use application. <br /> ® ❑ 5.5 The attachments/appendices contain sufficient documentation to support claims made in report. <br /> Reviewed By: Lisa Medina, Sr. R.E.H.S. Reviewed Date:1/27/05 <br /> EHD 26-02-001 Page 1 of 2 Surface&Sub Checklist <br /> d <br />
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