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SU0014945
EnvironmentalHealth
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2600 - Land Use Program
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SA-96-35
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SU0014945
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Entry Properties
Last modified
6/14/2022 7:00:40 PM
Creation date
6/7/2022 11:42:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014945
PE
2600
FACILITY_NAME
SA-96-35
STREET_NUMBER
250
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
95330-
ENTERED_DATE
5/23/2022 12:00:00 AM
SITE_LOCATION
250 ROTH RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ENVIRONMENTAL INFORMATION-. . -ORN1 <br /> b. Types of emissions and sources associated with project <br /> rx_ <br /> c. Fuel sources and amounts) to be consumed by or as a result of the completed project <br /> d. Will the project result in substantial air emissions or deterioration of ambient air quality? <br /> No Ces ❑ <br /> 4. How much agricultural land will be removed from production? Aie-�0� <br /> Irrigated Not irrigated <br /> 5. Will the project: <br /> a. Generate objectional odors: No Yes ❑ <br /> b. Generate any discharge into surface waters: No Yes ❑ <br /> C. Generate or store hazardous materials: No V Yes ❑ <br /> d. Expose people to any hazous materials or situations: No Liz Yes ❑ <br /> P <br /> e. Displace people: No 02' Yes 11 <br /> f. Use significant amounts of energy or natural resources: No ❑ Yes <br /> g. Cause c ngestion on roadways or at interchanges or intersections: <br /> No Yes ❑ <br /> If yes is answered foran of the above, please describe: <br /> �r�7 <br /> SIGNATURE <br /> I certify under penalty of perjury that I am, (check one) <br /> Legal Property Owner (owner includes partner, trustee, trustor, or corporate officer) <br /> Owner's Legal Agent (attach proof of the owner's consent to file) <br /> and that the going is true and correct. <br /> Z/7L?i <br /> (Signature (D te) <br /> 5 <br />
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