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SU0010779_SSCRPT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0010779_SSCRPT
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Last modified
11/19/2024 3:46:26 PM
Creation date
9/9/2019 10:27:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0010779
PE
2622
FACILITY_NAME
PA-1600024
STREET_NUMBER
7101
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
04913052
ENTERED_DATE
2/5/2016 12:00:00 AM
SITE_LOCATION
7101 E HWY 12
RECEIVED_DATE
2/5/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\7101\PA-1600024\SU0010779\SUBSUR RPT.PDF
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EHD - Public
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Vien Property SSCR Page 6 of 9 <br /> Project Number: NA157033 <br /> August 25,2015 <br /> Are there currently any structures on the property? YesNo <br /> IT- <br /> To the best of your knowledge, have there been any structures on the ❑ Yes No <br /> property in the past which have since been removed? <br /> If the answer to either of those question is "yes," please answer the following: <br /> 1. For each existing building, please provide type of building and date of original <br /> construction and any substantial renovations: <br /> M()) (P 40 <br /> 2. For each building known to have been removed, please provide type of building and <br /> approximate dates the building existed: N�I! V_�Lv 1-11 <br /> 3. How are the structures heated and cooled (e.g., central, wall-mounted unit, space <br /> heaters, etc.), and what powers the heating and cooling devices (e.g., electric, <br /> propane, fuel oil tank, fireplace, etc.)? NvT <br /> 4. Provide a brief description of existing development with property dimensions, area, <br /> and acreage. ,s-aOVA u <br /> � 0 <br /> 5. Are there any currently, or the best of your knowledge have ❑ Yes No <br /> there been previously, any flooring, drains, or walls located <br /> within the facility that are stained by substances other than water <br /> or are emitting foul odors? <br /> 6. If any buildings were constructed prior to 1980, is there any ❑ YesNo <br /> currently or was there previously asbestos in any of the EP <br /> construction materials contained in the building(s)? <br /> If so, has a survey been conducted to assess the type, amount, ❑ Yes No <br /> location and condition of asbestos? (Please attach a copy of <br /> any survey report.) <br /> 7. If any buildings were constructed prior to 1980, is there any ❑ Yes [ No <br /> currently or was there previously lead-based paint applied to the <br /> building(s)? <br /> If so, has a survey been conducted to assess the type, amount, ❑ Yes ` No <br /> location and condition of lead-based paint? (Please attach a <br /> copy of any survey report.) <br /> III. STORAGE TANKS AND OTHER CHEMICAL STORAGE <br /> Responsive ■ Resourceful ■ Reliable <br />
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