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SU0006060_SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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PA-0600146
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SU0006060_SSCRPT
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Last modified
11/16/2020 11:19:36 AM
Creation date
9/4/2019 6:10:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006060
PE
2611
FACILITY_NAME
PA-0600146
STREET_NUMBER
0
STREET_NAME
MOUNTAIN HOUSE
City
MOUNTAIN HOUSE
ENTERED_DATE
5/23/2006 12:00:00 AM
SITE_LOCATION
MOUNTAIN HOUSE
RECEIVED_DATE
5/23/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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FilePath
\MIGRATIONS\E\ESTES\PA-0600146\SU0006060\SSC RPT.PDF
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EHD - Public
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Rev.6/26//2001 <br /> Page 3 of 5 <br /> 10a. Are there currently any registered or unregistered Yes ONo Unk <br /> storage tanks(above or underground)located on the <br /> property? <br /> 10b. Did you observe evidence or do you have any prior Yes CJNo Unk, <br /> knowledge that there have been previously any registered <br /> or unregistered storage tanks(above or underground) <br /> located on the property? <br /> 1 I a. Are there currently any vent pipes, fill pipes,or access Yes 3 Unk <br /> ways indicating a fill pipe protruding from the ground on <br /> the property or adjacent to any structure located on the <br /> property? <br /> I I b. Did you observe evidence or do you have any prior Yes CN3o Unk <br /> knowledge that there have been previously any vent pipes, <br /> fill pipes,or access ways indicating a fill pipe protruding <br /> from the ground on the property or adjacent to any structure <br /> located on the property? <br /> 12a. Are there currently any flooring, drains, or walls Yes �JO of Unk <br /> located within the facility that are stained by substances �J <br /> other than water or are emitting foul odors? <br /> 12b. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any flooring, <br /> drains, or walls located with the facility that are stained by <br /> substances other than water or are emitting foul odors? <br /> 13a. If the property is served by a private well, or non- YesNo Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> 13b. If the property is served by a private well, or non- Yes �No Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> contaminated by any government environmental/health <br /> agency? <br /> 14. Does the owner or occupant of the property have any Yes No Unk <br /> knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> environmental laws with respect to the property or any <br /> facility located on the property? <br /> 15a. Has the owner or occupant of the property been Yes No Unk <br /> informed of the past existence of hazardous substances or <br /> petroleum products with respect to the property or any <br /> facility located on the property? <br /> Initials�� <br />
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