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SU0000077_SSC RPT
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MS-00-14
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SU0000077_SSC RPT
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Last modified
4/8/2022 5:23:23 PM
Creation date
3/29/2022 1:34:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0000077
PE
2622
FACILITY_NAME
MS-00-14
STREET_NUMBER
23755
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
23755 N DEVRIES RD
RECEIVED_DATE
6/13/2000 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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INSTRUCTIONS TO THE PROPERTY OWNER OR SITE MANAGER: <br /> Be advised that this is a generic questionnaire designed for several different property <br /> investigations, i.e. commercial, industrial, agricultural etc. While we encourage you to <br /> read and respond to all the questions, we ask that you only respond in detail to those <br /> which are pertinent to your property and the past and proposed uses thereon. Complete <br /> and accurate responses are required by NOA ENVIRONMENTAL prior to the completion of <br /> our field investigation. <br /> A. DOCUMENTS TO BE PROVIDED TO OUR OFFICE <br /> 1 . Legible copies of an assessors parcel or other detailed map of the <br /> subject property and adjoining property showing the property boundaries, <br /> a map scale, and if possible all streets within 2000 feet. <br /> 2. If available, prior Phase I site assessment reports, prior environmental <br /> audit reports (regulatory compliance), environmental permits (solid and/or <br /> hazardous waste disposal, agricultural chemical application, waste water <br /> discharge), registrations for above and underground storage tanks, <br /> material safety data sheets, notices or other correspondence from any <br /> governmental agency relating to past environmental law violations, current <br /> notices of violation, and/or environmental liens encumbering the property. <br /> 3. If available, chain of title identifying all former owners and occupants of <br /> the property from the present back to 1940. <br /> B. DESCRIBE THE CURRENT/FORMER USES OF THE PROPERTY <br /> 1 . Name of current and all former owner(s). <br /> O T%O <br /> fi`, Ga E�2�A/ V ESC T 7- LL S <br /> 2. Name of current and all former occupant(s). <br /> F� r,�r-pie D u G <br /> 1-7 <br /> C- <br /> 3. Description of current use(s) of the property. Please provide name(s) of <br /> current occupant(s) and date(s) of occupancy). <br /> V 1A/6- Y � <br /> 2 - <br />
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