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SU0005757 SSCRPT
Environmental Health - Public
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SU0005757 SSCRPT
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Last modified
5/7/2020 11:31:45 AM
Creation date
9/5/2019 11:19:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005757
PE
2622
FACILITY_NAME
PA-0500692
STREET_NUMBER
4175
Direction
E
STREET_NAME
HORNER
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15730004
ENTERED_DATE
11/4/2005 12:00:00 AM
SITE_LOCATION
4175 E HORNER AVE
RECEIVED_DATE
11/4/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HORNER\4175\PA-0500692\SU0005757\SSC RPT.PDF
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EHD - Public
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A. General History of the Property: <br /> When did you first obtain or begin managing this property?If you are not an owner, what is or was your <br /> relationship to the subject property?Are you still associated with the property? <br /> /99y 0wX4'L aF P/-7u"f7 <br /> From whom did the current owner obtain the property?How long did the former owner hold the property? <br /> ?q"/ el' <br /> y '�Or ol.to f K'vr w� <br /> What is the general history of the property?Please include what residential or business uses have been made <br /> of the property and when,and what structures were built or demolished and when.If it is agricultural,what <br /> general crops have been grown and when. <br /> .. What is the general history and use of the adjacent properties and the general surrounding area? <br /> /,!L&4z4.-1 <br /> B. Use of Asbestos in on-site structures: <br /> Was(were)the building(s)constructed prior to 1979? Yes d.; Unknown <br /> If Yes,has an asbestos survey been done since 1979? Yes C""' Unknown <br /> Did the survey include physical sampling by a qualified firm that igdicated that the property is free <br /> of asbestos,or that the property is not free of asbestos? Yes (fro/Unknown <br /> If Yes, Free Not Free <br /> Explain as appropriate;if certified asbestos-free,do you have a copy of the certification? Yes No <br /> Do you have any past or present knowledge of asbestos-containing materials(ACMs)on the property? <br /> Advanced CWEnvironmentsl,Inc. ASTM Phase VISA Questionnaire 7/02 Page 2 of 10 <br />
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