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ARCHIVED REPORTS LEC APPLICATION FOR CERTIFICATION
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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THORNTON
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12751
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2900 - Site Mitigation Program
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PR0516806
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ARCHIVED REPORTS LEC APPLICATION FOR CERTIFICATION
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Last modified
9/26/2019 8:41:30 AM
Creation date
9/25/2019 4:52:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
LEC APPLICATION FOR CERTIFICATION
RECORD_ID
PR0516806
PE
2965
FACILITY_ID
FA0012817
FACILITY_NAME
WHITE SLOUGH WATER POLLUTION CONTRO
STREET_NUMBER
12751
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95241
APN
05513016
CURRENT_STATUS
01
SITE_LOCATION
12751 N THORNTON RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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06/lG/2008 11 :42 FAX 2093336867 WHITE SLOUGH 005/005 <br /> /k .� <br /> PHASF 1 ENVIRONMENTAL ASSESSMENT QUESTIONNAIRE <br /> (from ASTM E 1527,E 1528 and State of California E.P.A.) <br /> Instructions' Please complete this questionnaire regarding property history and use. Information noted here <br /> will help determine if past operation practices and significant historical events that occurred at the facility <br /> indicate potential areas of contamination. <br /> SITE NAME/ PROPERTY LOCATION wI ij-nk:til n11C;11 WAS'rl?WATI?R PLANT.SAN JOAM)IN COLINl'Y CA <br /> -T <br /> YES NO <br /> 33. As the user of this ESA,based on your knowledge and experience related NA NA <br /> to the properly are there any obvious indicators that point to the presence or <br /> likely presence olecontamination at the property? <br /> Additional Comments/Explanations for Yes Responses: <br /> This questionnaire was coin�leted by: <br /> Name !D ( �P-. 1'l <br /> Title <br /> Firm C. 0 Lu L <br /> Address 12.7 ked a <br /> 1-04i C 6 95 <br /> Phone number 0 9- 3 33- Cr 7' <br /> Date J( v-o <br /> 4 <br />
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