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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
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SJGOV\rtan
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\MIGRATIONS\H\HORNER\4175\PA-0500692\SU0005757\SSC RPT.PDF
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EHD - Public
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Owner Occupants -`s� site. <br /> 13a.If the property is served by a private well or non- Yes No Unk Yes No Unk Yes No Unk <br /> public water system,is there evidence or do you have <br /> prior knowledge that contaminants have been identified <br /> in the well or system that exceed guidelines applicable <br /> to the water system? <br /> s <br /> _ 13b.If the property is served by a private well or non- Yes No Unk Yes No Unk Yes No Unk <br /> public water system, is there evidence or do you have <br /> prior knowledge that the well has been designated as <br /> contaminated byanygovernmem ewironmental/health <br /> agency? <br /> 14. Does the owner or occupant of the property have Yes No Unk Yes No Unk Yes No Unk <br /> any knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> environmental laws with respect to the property or any <br /> `r facility located on the property? <br /> 15a. Has the owner or occupant of the property been[Yes <br /> No Unk Yes No Unk Yes No Unk <br /> informed of the pastexistence of hazardous substances <br /> or petroleum products with respect to the property or <br /> arty facility located on the property? <br /> 15b.Has the owner or occupant of the property been No Unk Yes No Unk Yes No Unk <br /> informed of the current existence of hazardous <br /> substances or petroleum products with respect to the <br /> property or any facility located on the property? VT <br /> 15c.Has the owner or occupant of the property been No Unk Yes No Unk Yes No Unk <br /> informed of the past existence of environmental <br /> violations with respect to the property or any facility <br /> located on the property? <br /> 15d.Has the owner or occupant of the property been No Unk Yes No Unk Yes No Unk <br /> informed of the current existence of environmental <br /> violations with respect to the property or any facility <br /> located on the property? / <br /> Advanced GeoEnvironmental,Inc. ASTM Phase 1/TSA Questionnaire7/02 Page 8 of 10 <br />
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