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SU0000013 SSCRPT
EnvironmentalHealth
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2600 - Land Use Program
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MS-01-20
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SU0000013 SSCRPT
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Last modified
5/7/2020 11:27:32 AM
Creation date
9/9/2019 10:17:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0000013
PE
2622
FACILITY_NAME
MS-01-20
STREET_NUMBER
24740
Direction
N
STREET_NAME
SOWLES
STREET_TYPE
RD
City
ACAMPO
APN
00715028
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
24740 N SOWLES RD
RECEIVED_DATE
5/22/2001 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\S\SOWLES\24740\MS-01-20\SU0000013\SSC RPT.PDF
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EHD - Public
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ENVIRONMENTAL SITE INSPECTION QUESTIONNAIRE <br /> Page 4 of 4 <br /> 3. Has an ACM survey ever been performed at the site? <br /> Yes No _X . If yes, please attach a copy. <br /> C. Polychlorinated Biphenyls (PCB) <br /> 1. Are any electrical transformers, capacitors, or other equipment located on-site <br /> which may contain PCBs? <br /> Yes No -,.K If yes, please describe (ie, condition, leakage, labels, etc.). <br /> 2. Based on site observations, can it be determined if the equipment is utility or <br /> private owned? <br /> Yes X No If yes, please indicate. <br /> D. Underground Storage Tanks (USI) <br /> 1. Are there any USTs currently on the site? Yes No <br /> 2. Were there any USTs closed or removed from the site? Yes No <br /> 3. If yes to Items 1 or 2 above, please describe type of system, construction (ie. <br /> single-walled steel tank etc.), location, product stored and age of tank or when <br /> removed. <br /> 4. Have the existing UST systems ever been repaired? <br /> Yes , r No If yes, please describe. <br /> N � <br /> e <br /> groundzolpbAw 1\question <br />
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