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P�...N' SAN JOAQUIN COUNTY 2 ENVIRONMENTAL HEALTH DEPARTMENT 304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 . P • (209)468-3420 • Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd SURFACE AND SUBSURFACE CONTAMINATION REPORT REQUIREMENT CHECKLIST SITE LOCATION: 20449 EAST OAKWOOD ROAD, STOCKTON PA#: REPORT DATE: 03/20/2020 S = Sufficient San Joaquin County Development Title Chapter 9-905,Section 9-905.12 I = Insufficient S I ® ❑ 1.1 Description of site(report must address all parcels), including current and/or proposed zoning information. -AG-40 1.2 Description of proposed development. ® ❑ - Agricultural purposes. - Lot line adjustment . Site plan states mobile home and septic tank will be removed. ® ❑ 1.3 Parcel location map. ® ❑ 1.4 Site map showing location of all items on parcel. (Examples: structures, drives,wells, septic systems, large trees, pastures, pools, natural drainage courses, ponds,waterways, etc.) 2.0 PAST, PRESENT AND PROPOSED FUTURE USES OF THE SITE SECTION ® ❑ 2.1 Discussion of past, present and proposed future uses at the site to assess potential problems. (Example sources of information: current and/or previous property owners, historical maps, insurance maps, previous land use applications, etc.) -Previously orchards and will continue to be used as agriculture 3.0 IDENTIFICATION OF ALL PAST AND CURRENT SOURCES OF CONTAMINATION ❑ ® 3.1 Discussions of the methods used to research and investigate the potential or known above and belowground sources of contamination at the project site. (Examples: Database search, EHD records search, agricultural chemical application search, site reconnaissance and survey, etc.) -Claims EHD records did not yield concerns but failed to identify the removed UST ❑ ® 3.2 Description of all past on-site potential and/or known above and below ground sources of contamination identified at the project site. (Examples: Agricultural chemical handling/storage/use, aboveground/underground tanks, septic systems, injection wells, unsealed wells, ponds/lagoons,vehicle/machine repair/painting, buried or stockpiled solid waste, etc.) -2000 gallon underground storage tank onsite(removed in 1986) not mentioned in report. ® ❑ 3.3 Description of all current on-site potential and/or known above and below ground sources of contamination identified at the project site (see examples above). -Claims no chemical or fuel storage tanks are currently onsite -Two propane tanks located on site map ® ❑ 3.4 Description of all past off-site potential and/or known above and below ground sources of contamination identified in the area of the project site that has or may impact the project site. (Examples: Close proximity to a former landfill/former gasoline station, in area of known DBCP/Nitrate groundwater impact, etc.) ® ❑ 3.5 Description of all current off-site potential and/or known above and below ground sources of contamination identified in the area of the project site. 4.0 EVALUATION OF PAST AND CURRENT SOURCES OF CONTAMINATIO IDENTIFIED AT OR NEAR THE SITE AND RECOMMENDATIONS FOR FURTHER ACTION ® ❑ 4.1 Evaluation of each potential and/or known source of contamination identified (in the above section)for any real and/or potential threat to human health and the environment. This evaluation should take into consideration the proposed future uses of the project parcel. -Claims site is served by a public water system, it is not -Two wells located on parcel 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ® ❑ 5.1 Discussion of the above evaluation to either rule out each source as a real or potential threat or to recommend further action to mitigate or abate any real or potential threats identified. Recommendations may include additional site assessment(i.e. collection of soil/water samples)and/or mitigative measures(i.e., clean up of surface wastes). All recommendations for future work must include a time frame for implementation. ® ❑ 5.2 The report was inclusive(i.e. all information referenced was included in this report—report should not reference other reports). EHD 26-02-001 Pagel of 2 Surface&Sub Checklist