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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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NOA JOB NUMBER: E05133A <br /> '- PROPERTY LOCATION: 11330 N. Gotfview Rd.,Lodi, CA 95240 <br /> Page 3 <br /> II. STRUCTURES <br /> Are there currently any structures on the property? ❑Yes ® No <br /> To the best of your knowledge, have there been any structures on ❑Yes ® No <br /> the property in the past which have since been removed? <br /> If the answer to either question is "yes," please answer the following: <br /> _ 1. For each existing building, please provide type of building <br /> and date of original construction and any substantial <br /> renovations: <br /> 2. For each building known to have been removed, please <br /> provide type of building and approximate dates the building <br /> existed: <br /> 3. If known, please provide the name and phone number of the <br /> project Architect and Civil Engineer of the current facilities. <br /> 4. Provide a brief description of development with property <br /> dimensions, area, and acreage. <br /> 5. Are there currently, or to the best of your knowledge have ❑ Yes ❑ No <br /> ^- there been previously, any flooring, drains, or walls located <br /> within the facility that are stained by substances other than <br /> water or are emitting foul odors? <br /> 6. If any buildings were constructed prior to 1980, is there ❑Yes ❑ No <br /> currently or was there previously asbestos in any of the <br /> construction materials contained in the building(s)? <br /> Ifyou have any questions about this questionnaire,please contact Abby Racco at(209) 367-3701 ext 238 <br />
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