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SU0006822 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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PA-0700506
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SU0006822 SSCRPT
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Last modified
5/7/2020 11:32:44 AM
Creation date
9/5/2019 11:02:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006822
PE
2622
FACILITY_NAME
PA-0700506
STREET_NUMBER
18406
Direction
S
STREET_NAME
HAZELHURST
STREET_TYPE
RD
City
ESCALON
APN
24508007
ENTERED_DATE
11/7/2007 12:00:00 AM
SITE_LOCATION
18406 S HAZELHURST RD
RECEIVED_DATE
11/6/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAZELHURST\18406\PA-0700506\SU0006822\SSC RPT.PDF
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EHD - Public
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r <br /> Reconnaissance Checklist <br /> NOA Project Number: E07157A <br /> r Page 3 <br /> 9. Is there observed evidence that fill dirt has been brought onto the site which originated <br /> from a contaminated site or an unknown location? <br /> Yes ❑ No WJ <br /> 10. a. Is there observed evidence of pesticides, automotive or industrial batteries, or other <br /> chemicals being stored or used at the property? <br /> Yes ❑ No <br /> b. Within 250 feet? <br /> Yes ❑ None observed <br /> r 11. a. Are there any industrial drums or sacks of chemicals observed on the subject <br /> property? <br /> Yes ❑ No ❑✓ <br /> b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> r <br /> 12. a. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> Yes ❑ No <br /> b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> 13. Identify any surface waters observed within 1,000 feet of the subject property. <br /> None observed <br /> r <br /> 14. a. Identify the potable water supply source: <br /> ❑ Public Water System ❑ None <br /> r, © Private Well ❑ Not observed <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes © No ❑ <br /> 15. Identify the sewage disposal system: <br /> ❑ Public Sewer System ❑ None <br /> © Private Septic System ❑ Not observed <br /> 16. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes ❑ No <br /> r <br /> r <br /> r <br /> r <br />
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