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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
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FilePath
\MIGRATIONS\H\HORNER\4175\PA-0500692\SU0005757\SSC RPT.PDF
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EHD - Public
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.r QuesClot '' Owner 04anis Site Visit <br /> 16. Does the owner or occupant of the property have Yes No Unk Yes No Unk Yes No Unk <br /> any knowledge of any environmental site assessment of <br /> the property or facility. <br /> If Yes, did the assessment indicate the presence of Yes No Unk Yes No Unk Yes No Unk <br /> hazardous substances or petroleum products on, or <br /> contamination of,the property or recommended further <br /> assessment of the property? <br /> If Yes,can you provide a copy of the report(s)? Yes No Unk Yes No Unk Yes No Unk <br /> 17. Does the owner or occupant of the property have Yes No IUnk Yes No Unk Yes No Unk <br /> any knowledge of any past, threatened or pending <br /> lawsuits or administrative proceedings concerning a <br /> release or threatened release of any hazardous <br /> substances or petroleum products involvingthe property <br /> by any owner or occupant of the properly? <br /> l8a. Does the property discharge waste water, on or YesNo Unk Yes No Unk Yes No Unk <br /> adjacent to the property,other than storm water,into a <br /> storm water sewer system? <br /> 18b. Does the property discharge waste water, on or Yes No Unk Yes No Unk Yes No Unk <br /> adjacent to the property,other than storm water,into a <br /> sanitary sewer system? <br /> 19.Did you observe evidence or do you have any prior Yes No Unk Yes No Unk Yes No Unk <br /> knowledge that any hazardous substances or petroleum <br /> products,unidentified waste materials,tires,automotive <br /> or industrial batteries,or any other waste materials have <br /> been dumped above grade,buried and/or homed on the <br /> property? <br /> If applicable,where was the dumping located? <br /> Advanced Ce Envm>nmental,Inc. ASTM Phase lITSAQuestionnaire 7/02 Pale 9 of 10 <br /> v <br />
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