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SU0005259 SSCRPT
Environmental Health - Public
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SU0005259 SSCRPT
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Last modified
5/7/2020 11:31:35 AM
Creation date
9/6/2019 10:00:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005259
PE
2611
FACILITY_NAME
PA-0500469
STREET_NUMBER
5055
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
APN
15910007, 08, &
ENTERED_DATE
8/2/2005 12:00:00 AM
SITE_LOCATION
5055 E MAIN ST
RECEIVED_DATE
8/1/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\M\MAIN\5055\PA-0500469\SU0005259\SSC RPT.PDF
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EHD - Public
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�- SSCR Site Reconnaissance"Thecklist 1'011 <br /> NOA Proiect Number: E05132A <br /> Page 3 <br /> 9. Is there observed evidence that fill dirt has been brought onto the site which originated <br /> from a contaminated site or an unknown location? <br /> Yes ❑ No Q <br /> 10. a. Is there observed evidence of pesticides, automotive or industrial batteries, or other <br /> chemicals being stored or used at the property? <br /> Yes © No ❑ Empty chemical buckets observed in barn <br /> b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> ` 11. a. Are there any industrial drums or sacks of chemicals observed on the subject <br /> property? Three partially-full drums (possibly waste oil) and one empty drum <br /> Yes © No ❑ observed to east of barn <br /> �- b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> 12. a. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> Yes ❑ No Q <br /> b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> 13. Identify any surface waters observed within 1,000 feet of the subject property. <br /> None <br /> 14. a. Identify the potable water supply source: <br /> _ ❑ Public Water System ❑ None <br /> © Private Well ❑ Not observed <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes © No ❑ <br /> 15. Identify the sewage disposal system: <br /> ❑ Public Sewer System ❑ None <br /> © Private Septic System ❑ Not observed <br /> 16. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes ❑ No ✓❑ <br />
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