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SU0006112 SSCRPT
Environmental Health - Public
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SU0006112 SSCRPT
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Last modified
5/7/2020 11:32:08 AM
Creation date
9/6/2019 9:57:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006112
PE
2622
FACILITY_NAME
PA-0600379
STREET_NUMBER
26076
Direction
N
STREET_NAME
MACKVILLE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02116017
ENTERED_DATE
7/10/2006 12:00:00 AM
SITE_LOCATION
26076 N MACKVILLE RD
RECEIVED_DATE
7/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MACKVILLE\26076\PA-0600379\SU0006112\SSC RPT.PDF
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EHD - Public
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Tphkar�� Tpa� <br /> June 7, 2006 <br /> FROM: Mr.Valdemar Olson <br /> %Mr.John Shoup,P.L.S. <br /> Lodi,CA <br /> PROJECT: 26076 North Mackville Road,Clements APN: 021-160-17 <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please use the back of this document,or separate paper if necessary. Please mail or fax this document back to <br /> Chesney Consulting upon completion.Thank you. <br /> 1. How long have you owned the property and is your ranch known by any other name?Who were the prior <br /> owners and their length of ownership,if known? What activities have taken place and what is the proposed <br /> development of the property? <br /> Length of Ownership and Ranch Name : n�, M� ®Ce/4� /er �J yisy OC <Hry JL4rt r 1J <br /> Previous Ownership to you,and length of ownership,if known:_U,Y tyo,uN <br /> Activities/Proposed Development: //,y�rrai/ ryr[�i�.-e( �arnnY[�c�t✓w.�iL.� <br /> 2. Is there,or has there ever been to your knowledge,any tpe of above ground or underground storage tanks <br /> on the subject property, or any type of buried containers. Are there any septic tanks on the property? <br /> / - la�9a/� A5T <br /> U 9i r-nkL >LiG 74ink fes/965�p92LeE <br /> 3. Please provide a list of the pesticides,that have been applied to the subject property acreage in the past three <br /> years lux seam USt ifmnvenimo. Are pesticides/herbicides mixed on the property before a raying? If so, <br /> where? How are pesticides/herbicides applied to the subject property(ground,aenal). Are there any wells <br /> (domestic and/or irrigation)on the property and do they ave backflow prevention devices? <br /> Pesticides/Herbicides Applied: ,eouil�—�,�, �5yC FAe . 4-P7,>& <br /> Mixing Area Location(s): <br /> Wells: �G � �,��T Backflow Prevention Devices:- <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if any? <br /> �J/Ti�Of�7✓ `� /JDTf)Sft a1tp,2pK /DO un 'fs�.4c,zf <br /> 5. Are any hazardous materials stored,or previously stored on the property? If so,where? Are you awareof <br /> any hazardous material release on,or around your property? <br /> Hazardous Materials:__ <br /> Hazardous Materials Release: IfIO,VE <br /> 6. Are there any easements through the property,or any underground pipelines? AVOC-Cr- /i yt t_t <br /> Signed Date: 6,— —V <br /> Thank you for your time. If there should be any questions,please give me a call. <br /> Sincerely, <br /> r� <br /> AonCNAsn R.E. . <br /> Registered nviro ental Assessor#4675 <br /> Agricultural Pest ontrol Advisor#6237 <br /> P. O. BoX3794 ♦ Turlock CA 95381 ♦ Office(209)668-1403 ♦ Tar,(209)668-2598 <br />
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