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SU0007492 SSCRPT
Environmental Health - Public
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SU0007492 SSCRPT
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Last modified
5/7/2020 11:33:06 AM
Creation date
9/5/2019 10:58:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007492
PE
2622
FACILITY_NAME
PA-0800354
STREET_NUMBER
10940
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06318002
ENTERED_DATE
12/1/2008 12:00:00 AM
SITE_LOCATION
10940 E HARNEY LN
RECEIVED_DATE
11/26/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\H\HARNEY\10940\PA-0800354\SU0007492\SSC RPT.PDF
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EHD - Public
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Surface&Subsurface Contamination Report Questionnaire <br /> Thelma E. Hieb Revocable Trust Property Page 8 of 10 <br /> Our Project Number: E07202A <br /> December 5,2007 <br /> III. STORAGE TANKS AND OTHER CHEMICAL STORAGE <br /> Are there currently, or to the best of your knowledge have there been Yes ❑ No <br /> previously, any registered or unregistered gasoline, diesel, fuel oil or other <br /> chemical storage tanks (above or underground) located on the property? <br /> Are there any pesticides, paints, or other chemicals stored or used on the ❑ Yes No <br /> property in drums, sacks, or other containers greater than 5 gallons each or 50 1p <br /> gallons in the aggregate? <br /> If the answer to either question is"yes,"please answer the questions below: <br /> 1. For each tank, please list substance stored and tank capacity: <br /> 2. Have the tanks been inspected or tested for leakage? When was the most recent test? What <br /> were the results? (Please attach copies of results ifauai/ab/e.) '� 0 <br /> 3. For other storage containers, please describe the substances, quantities stored, and types of <br /> containers. <br /> 4. Have there been any spills, leaks, or other releases of chemicals on the ❑ Yes No <br /> property? If so, 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, leaked, <br /> or released on the property. <br /> 5. Please attach copies of any permits or licenses pertaining to the use, storage, handling, or <br /> disposal of chemicals on the property. <br /> QM T„A„&r;al W—.T nA; CA Q5)A0.M0 IA7 Z701 .Fav M0 2FQ A'))R n?nn7 nio;i n A-1--R <br />
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