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SU0004627_SSCRPT
EnvironmentalHealth
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2600 - Land Use Program
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PA-0400488
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SU0004627_SSCRPT
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Entry Properties
Last modified
11/19/2024 3:46:24 PM
Creation date
9/9/2019 10:23:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004627
PE
2622
FACILITY_NAME
PA-0400488
STREET_NUMBER
11456
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
02506003
ENTERED_DATE
9/2/2004 12:00:00 AM
SITE_LOCATION
11456 W HWY 12
RECEIVED_DATE
9/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\11456\PA-0400488\SU0004627\SSC RPT.PDF
Tags
EHD - Public
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L <br /> L <br /> L NOA Project Number: E04095A <br /> Page 4 <br /> L 14. Identify any surface waters on the subject property within 1,000 feet. <br /> Sycamore Slough defines northern site boundary;irrigation cana4 Arne property boundaries and field mads <br /> L15. Is there evidence that the subject property is serviced by a private well? <br /> Yes® No ® Domestic wellserver labor camp;irrigation water pumped from ricer <br /> LEvidence of a private well within 1,000 feet? <br /> Yes[= No ® None observed <br /> L16. Identify the potable water supply source: <br /> PRvate well <br /> tr <br /> 17. Identify the sewage disposal system: <br /> Private septic systems <br /> '` 18. Are there any pits,ponds,or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> L Yes[=] No <br /> 19. Is there evidence that the subject property discharges waste water,other than storm water, <br /> L directly into a ditch or stream on or adjacent to the property? <br /> Yes r-1 No <br /> LAny discharges within 200 feet? <br /> Yes® No ® Nona observed <br /> L20. Is there evidence of underground/aboveground storage tanks on the subject property? <br /> Yes® No ® Several fuel ASTs, only one of wbicb is in use;propane ASTs observed near residences <br /> LWithin 200 feet? <br /> Yes Q No [Z] None observed <br /> L 21. Are there any vent pipes, fill pipes, or access ways indicating a fill pipe protruding from the <br /> ground on the subject property? <br /> L Yes® No ® Pipes protruding fromground observed, appeared to be electrical in nature <br /> Within 200 feet? <br /> LYes O No r-O None observed <br /> L <br /> L <br />
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