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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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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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M - 15 . 2004 8: 15AM NOA Eel"IRO 2(3 . 369 .4228 NO .6869 P . 13 <br /> NOA JOB NUMBER: E04095A <br /> _ PROPERTY LOCATION: Terminous Tract, CA <br /> Page 8 <br /> _ II. STRUCTURES <br /> Are there currently any structures on the property? Yes ❑ No <br /> To the best of your knowledge, have ';here been any structures on the ❑ Yes XNo <br /> property in the past which have since bien removed? <br /> If the answer to either question is"yes," please answer the following: <br /> 1. For each existing building, please provide type of building and date <br /> of original construction and any substantial renovations: <br /> try 5 <br /> 2. For each building known to ha%a been removed, please provide <br /> type of building and approximat; dates the building existed: <br /> 3. If known, please provide the name and phone numberof the project <br /> Architect and Civil Engineer of the current facilities. <br /> 4. Provide a brief description of development with property <br /> dimensions, area, and acreage. <br /> 5. Are there currently, or to the best of your knowledge have there ❑ Yes No <br /> been previously, any flooring, trains, or walls located within the <br /> facility that are stained by sutstances other than water or are <br /> emitting foul odors? <br /> 6. If any buildings were constructed prior to 1980, is there currently or ❑Yes No <br /> was there previously asbestos in any of the construction materials <br /> contained in the building(s)? <br /> 7. If so, has a survey been cond icted to assess the type, amount, ❑ Yes ❑ No <br /> location and condition of asbestos? (Please attach a copy of any <br /> survey report.) <br /> Ijyou have any questions about this questionncire,please contact Robert Nicholson at(209) 367-3701 ext 21 <br />
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