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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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Question Own 'rgiants Sitevisit <br /> 20. Is there a transformer,capacitor, or any hydraulicYes o Unk Yes No Unk Yes No Unk <br /> equipmentfor which there are any records indicating the <br /> presence of PCBs? <br /> If applicable,where are they located? <br /> BOX:For AGE Use Only/Transaction Screen Analysis(TSA) Summary <br /> 21.Do any of the Federal government record systems list the property or any property within the circumferenceFYes <br /> No <br /> of the required areas? See FUR Database Listing. <br /> 22.Do any of the state government record systems list the property or any property within the circumference of No <br /> the required areas? See EDR Database Listing. <br /> 23.Based upon a review of tire insurance maps or consultation with the local fire department serving the property, No <br /> all as specified in the ASTM E-1528 guide,are any buildings or other improvements on the property or on an <br /> _ adjoining property identified as having been used for an industrial use or uses likely to lead to contamination of <br /> the property?Findings: <br /> Are there any additional items of possible env'� onmental concern regarding the property that have not been <br /> discussed in this interview? [ ]YES [li]'NO <br /> If YES,please discuss: <br /> Additional Notes: <br /> Advanced C=Environmenial,Inc. ASTM Phase VrSA Questionnaire 7/02 Page 10 of 10 <br /> v_ <br />
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