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SR0085755_SSCRPT
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2600 - Land Use Program
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SR0085755_SSCRPT
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Last modified
9/19/2022 2:03:30 PM
Creation date
9/13/2022 8:05:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0085755
PE
2603
STREET_NUMBER
350
Direction
N
STREET_NAME
ESTES
STREET_TYPE
WAY
City
MOUNTAIN HOUSE
Zip
95391
APN
25604001
ENTERED_DATE
9/7/2022 12:00:00 AM
SITE_LOCATION
350 N ESTES WAY
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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-ENGEO <br /> —Expect Excellence— <br /> PART II-The following questions should be answered to the best of your knowledge. <br /> 1. Isihas the property or any adjoining property used/been used for industrial purposes? X <br /> es o <br /> 2. Has the property or any adjoining property been used as aasoline station, motor repair facility, <br /> g <br /> commercial printing facility, dry cleaners, photo developing laboratory, junkyard or landfill, or as a ❑Yes No <br /> waste treatment,storage, disposal,processing, or recycling facility? <br /> 3. Are there currently, or have there been previously, any damaged or discarded automotive or industrial X <br /> batteries, or pesticides, paints, or other chemicals in individual containers of greater than 5 gal in es o <br /> volume or 50 gat in the aggregate,stored on or used at the property or at the facility? <br /> 4. Has undocumented soil been brought onto the property at any time? If yes, estimated quantity Is ❑ ❑ <br /> cubic yards. Yes No <br /> 5. Has soil been brought onto the property that originated from a contaminated site or that is of an ❑ ❑ <br /> unknown origin? Yes No <br /> 6. Are there currently, or have there been previously,any pits, ponds, or lagoons located on the property ❑ ❑ E <br /> in connection with waste treatment or waste disposal? Yes No <br /> 7. Is there currently, or has there been previously,any stained soil on the property? X <br /> Yes No <br /> 8. Are there currently, or have there been previously,any registered or unregistered storage tanks(above X <br /> or underground) located on the property? Pes o <br /> 9. Are there currently, or have there been previously,any vent pipes, fill pipes, or access ways Indicating El ❑ <br /> a fill pipe protruding from the ground on the property or adjacent to any structure located on the Yes No <br /> property? <br /> 10. Are there currently, or have there been previously, any flooring, drains, or walls located within the ❑ ❑ <br /> facility that are stained by substances other than water or are emitting foul odors? Yes No <br /> 11. Are there any domestic, irrigation or monitoring wells on the property? X <br /> Yes No <br /> 12. If the property Is served by a private well or non-public water system, have contaminants been ❑ <br /> identified in the well or system that exceed guidelines applicable to the water system or has the well <br /> been designated as contaminated by any government environmental/health agency? es No <br /> 13. Have you been informed of the past or current existence of hazardous substances or petroleum X <br /> products or environmental violations with respect to the property or any facility located on the property) Yes No <br /> 14. Have there been any environmental site assessments of the property or facility that indicated the ❑ ❑ <br /> presence of hazardous substances or petroleum products on, or contamination of, the property or Yes -No <br /> recommended further assessment of the property? <br /> 15. Have there been any past, threatened, or pending lawsuits or administrative proceedings concerning a ❑ El <br /> or threatened release of any hazardous substance or petroleum products involving the Yes No <br /> property? <br /> 16. Has there been any past agricultural use of the property,such as orchards or seed crop cultivation? ❑ ❑ <br /> Yes No <br /> 17. Have any hazardous substances or petroleum products, unidentified waste materials, tires, automotiveEl X <br /> or industrial batteries or any other waste materials been dumped above grade, buried and/or burned <br /> Yes No <br /> on the property? <br /> 18. Is there a transformer, capacitor, or any hydraulic equipment for which there are any records Indicating X <br /> the presence of PCBs? es No <br /> Page 2 of 3 <br />
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