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SR0082963_SSCR
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2600 - Land Use Program
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SR0082963_SSCR
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Last modified
12/17/2020 4:01:13 PM
Creation date
12/3/2020 8:36:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCR
RECORD_ID
SR0082963
PE
2603
STREET_NUMBER
54
Direction
W
STREET_NAME
CONEJO
STREET_TYPE
CT
City
MOUNTAIN HOUSE
Zip
95391
APN
25426048
ENTERED_DATE
12/2/2020 12:00:00 AM
SITE_LOCATION
54 W CONEJO CT
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Rev.6/26//2001 <br /> Pagel of 5 <br /> QUESTIONNAIRE <br /> f MTN.HOUSE PHASE I ENVIRONMENTAL SITE ASSESSMENT <br /> This questionnaire has been prepared by Condor Earth Technologies, Inc. (Preparer) by request <br /> from Frank Arnaudo of Trimark Communities. (User)in order to obtain information regarding the <br /> proposed Mtn. House Neighborhoods Site, Stockton, California (Site). The objective of this <br /> questionnaire is to provide the User with information regarding the presence or likely presence of <br /> any hazardous substances or petroleum products on the property that may present a material risk <br /> of harm to public health or to the environment. Information provided by this questionnaire will <br /> be used to identify recognized environmental conditions existing on the Site that may or may not <br /> require additional research. The questionnaire is provided on a voluntary basis by the respondent <br /> as part of a customary practice for conducting an Environmental Site Assessment on a specific <br /> parcel of real estate. Please respond to the best of your ability. To provide further information, <br /> please describe reason for any affirmative answers on a separate sheet of paper. <br /> RESPONDENT(CHECK ONE) in.6tz- <br /> Owner it Occupant FPreparer(during Site visit) N4.E <br /> Question Answer <br /> 1 a. Is this Site used for an industrial use? Yes No Unk <br /> 1 b. Is any adjoining property used for an industrial use? Yes No Unk <br /> } 2a. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that the property has been used for an industrial <br /> use in the past? <br /> 2b. Did you observe evidence or do you have any prior Yes oNo Unk <br /> knowledge that any adjoining property has been used for an <br /> industrial use in the past? <br /> 3a. Is the property used as a gasoline station,motor repair Ye No Unk <br /> facility,dry cleaners, photo developing laboratory, . <br /> junkyard or landfill, or as a waste treatment, storage, <br /> disposal, processing, or recycling facility(if applicable, <br /> identify which)? <br /> 3b. Is any adjoining property used as a gasoline station, Yes Unk <br /> motor repair facility, dry cleaners, photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> storage,disposal, processing, or recycling facility(if <br /> applicable, identify which)? <br /> 4a. Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that the property has been used as a gasoline <br /> station, motor repair facility, dry cleaners, photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> storage, disposal, processing, or recycling facility(if <br /> j applicable, identify which)? <br /> Initials <br />
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