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SU0005796 SSCRPT
Environmental Health - Public
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SU0005796 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/5/2019 10:42:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005796
PE
2622
FACILITY_NAME
PA-0500779
STREET_NUMBER
11300
Direction
N
STREET_NAME
GOLFVIEW
STREET_TYPE
RD
City
LODI
APN
05920006
ENTERED_DATE
11/30/2005 12:00:00 AM
SITE_LOCATION
11300 N GOLFVIEW RD
RECEIVED_DATE
11/29/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\G\GOLFVIEW\11300\PA-0500779\SU0005796\SSC RPT.PDF
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EHD - Public
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L. lkla. ../ <br /> 6M Phase I Site Reconnaissance Checklist <br /> NOA Project Number. E05133A <br /> Page 4 <br /> 13. a.Are there any open or damaged containers containing unidentified substances observed on the subject <br /> Property? <br /> Yes ED No 10 <br /> b.Within 250 feet? <br /> Yes No <br /> V <br /> 14. Identify any surface waters within 1,000 feet.of the subject property <br /> r There are several fronds located on the golf coarse. <br /> ✓• 15. a. Identify the potable water supply source: <br /> ® Public Water System E3 Other <br /> Private Well GZ1 None <br /> r <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes[Z] No Q located at the rural residences <br /> 16. Identify the sewage disposal system: <br /> M Public Sewer System Other <br /> MOn-site septic system ® None <br /> 17. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes Q No <br /> L <br /> 18. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes Q No <br /> L <br /> b.Any discharges observed within 200 feet? <br /> Yes[:] No <br /> V <br /> L <br /> 60 <br />
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