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SU0006099 SSCRPT
Environmental Health - Public
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SU0006099 SSCRPT
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Last modified
5/7/2020 11:32:07 AM
Creation date
9/4/2019 10:38:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006099
PE
2622
FACILITY_NAME
PA-0600348
STREET_NUMBER
19801
Direction
S
STREET_NAME
BRENNAN
STREET_TYPE
AVE
City
ESCALON
APN
24704001 02
ENTERED_DATE
6/27/2006 12:00:00 AM
SITE_LOCATION
19801 S BRENNAN AVE
RECEIVED_DATE
6/27/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BRENNAN\19801\PA-0600348\SU0006099\SSC RPT.PDF
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EHD - Public
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., u�o-�temiit 209-931-1017 <br /> f Wed 12 Apr 2006 04:18:27 PM PDT <br /> ' Page 11 of 14 <br /> SurFace and Subsurface Contamination Report Questionnaire <br /> r NO roject Number: E0602ZA <br /> Location: 99801, 20963&20719 Brennan Road, Esealon, CA 953.20 <br /> , Page 9 <br /> �, !!i. STQRAGE TANI[S ANp p <br /> f TtifRR Ci'iFMfG4i.STQRAGE <br /> Are there currently, or to the best of your knowledge have there been <br /> previously, any registered or unregistered gasoline, diesel, fuel oil or other Yes No <br /> chemical storage tanks (above or underground} located on the property? <br /> Are there any pesticides, paints, or other emi��st ` r <br /> the <br /> property in drums, Sacks,or other containers greater than 5 allons ed each or des ❑ No <br /> 50 gallons in the aggregate? g <br /> If the answer to either question is "yes,"please answer the questions below: <br /> 1• For <br /> each tank dplease list substance stared and tank capacity. <br /> Uyra�Pi^y�rrumau r <br /> a <br /> loot <br /> �✓,P�i�le', <br /> 2. Have the tanks been inspected or tested for leakage? When was the most recent Who <br /> were the results? (Please uct4cli tapfes of res t <br /> N� alts if <br /> avallabte.) <br /> 3• For other storage containers,please describe the substances uantities stored and <br /> ' containers. <br /> Thi-rY,e r.r � q ,_/ tYP�of <br /> `yr a T�Pt a t'S 7-A,r a i'e C rrrr'Cr�f ,, <k#aJr C. ..�I 14 cm 1w �'Q +E `�` <br /> p� u S f� 'liar• T , 4 RI IC <br /> a r.ea 7o _ST �e �c`�'"''�S ppr.trs�1R�f, <br /> 6•P.rH uh �'-.P7`' SPvo molKwial Gov�7a:»art <br /> � � v�dQ � 7racOle r•;ns� �� a! Y a� <br /> To 3a�.f eem7plArrf <br /> 4. Have there been any spills, leaks, or other releases of chemicals on the ❑Yes ❑ No <br /> + Property? If$0, please describe the chemicals and quantities released, <br /> any cleanup measures taken, and the results of any soil or groundwater <br /> samples performed to detect the presence of chemicals spilled, <br /> leaked, or released on the property. <br /> 5. Please attach Copies of any Permits or licenses pertaining to the use, <br /> disposal of chemicals an the property. storage, handling, or <br /> I <br /> if ytnt Frrnre arty queotfahs alrour this q?'"tfonnafre,please contact Tina Cheney et(109)367-3 7 1 <br />
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