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SU0009813 SSCRPT
Environmental Health - Public
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SU0009813 SSCRPT
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Last modified
5/7/2020 11:34:16 AM
Creation date
9/4/2019 5:29:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0009813
PE
2622
FACILITY_NAME
PA-1300187
STREET_NUMBER
31901
Direction
S
STREET_NAME
DETERMINATION
STREET_TYPE
DR
City
TRACY
Zip
95376-
APN
25534003
ENTERED_DATE
11/4/2013 12:00:00 AM
SITE_LOCATION
31901 S DETERMINATION DR
RECEIVED_DATE
11/4/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\D\DETERMINATION\31901\PA-1300187\SU0009813\SSCR.PDF
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EHD - Public
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,. C. Additional hazards: <br /> Lead-Based Paint: Do you have knowledge of the existence of lead-based paint on the property? Yes <br /> Unknown. <br /> When were the property buildings last painted: <br /> Is there any evidence on the subject property of it legal or dangerous on-site application,handling or storage <br /> of maintenance chemicals such as pesticides, rodenticides, fertilizers,cleaners, paint solvents,swimming <br /> pool cleaners,etc'? Yes (9) Unknown <br /> it-Yes,please explain. <br /> Have there ever been any dry Ili, sumps,separators(or clarifiers or grease traps)or in-ground hydraulic <br /> lifts on the property? Ye. ;W Unknown. If Yes.where,what use and what size(if known)? <br /> 1). Utilities on the property: <br /> Is water currently provided from a[ ]public water system,Vj private well,or from a [ )private company? <br /> In the past? <br /> If water islwas supplied by a private well or wells,what is/was the location of the well(s)?If closed,are <br /> there closure permits? Yes Yo If so, may we have a oopy of the permit? Y N <br /> (fj-jk'- Qenh+) <br /> Does the property discharge wastewater to a[ ] city/county sanitary sewer system,nn [ j or,-site sewage <br /> treatment system or an [Aon-site septic systent? lu the Past? Q� <br /> ry�/o SfQiie 9yl4im3 Jyf Fat <br /> r f <br /> If the property is/was discharging wastewater to an on-site system, where is/was the system located? if <br /> closed. are there closure permits? Yew No If so,may we have a copy of the permit? Y N <br /> r <br /> nd%,neyd(kvrAviw. m 1.4r. ASTM Phase VrSA Qi 1!A,nnaire l 1/2011 Page 3 of 10 <br />
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