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SU0007489 SSCRPT
Environmental Health - Public
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SU0007489 SSCRPT
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Last modified
5/7/2020 11:33:05 AM
Creation date
9/6/2019 10:02:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007489
PE
2622
FACILITY_NAME
PA-0800348
STREET_NUMBER
21301
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01728010
ENTERED_DATE
11/25/2008 12:00:00 AM
SITE_LOCATION
21301 N MANN RD
RECEIVED_DATE
11/24/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\M\MANN\21301\PA-0800348\SU0007489\SSC RPT.PDF
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EHD - Public
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Surface/Subsurface Contamination Report Questionnaire <br /> IR Squared Project Number - 2008015 <br /> Property Location - 21301 N.Mann Road,Acampo,CA <br /> V, AEftICULWRAL PROPERTIES <br /> Is the prope y currently used for agncultural purpose's,other <br /> than grazing or pastured land" <br /> To the Best of'your kmiwledge,has the property been used in <br /> the past for agricultural purposes.other than gra .tng or pastured land's <br /> If the answer to either question is"yes," please answer the fallwA int!- <br /> I Ilave pesticides,herbicides mother agricultural = <br /> chemicals hem applied to the property? If so,please des nbc the locations <br /> whey such pesticides,herbicides or chemicals were applie=d,ark) the ripe of pesticides_herbicides <br /> or chtmicals applied in each area.(Pleasc attach copies of pesticide use reports if available <br /> +;t.11 G'V1 u'ri ,c C�I S Ylave_ �2etC_ i coo p I� e.d +-L V)yV y ct,r c�, <br /> 2. I lave pesticides,herbicides or other agncultural chemicals V,c., — no <br /> been mixed,turmulated,rinsed.or diNixned of on the:property" <br /> If so,please describe the k"tions where such peAicides.herbicides or chemicals were mixed, <br /> formulated,nmsed,or disposed,and the type of pesticides,herbicides m chemicals mixed, <br /> forrrltrlated,rinsed or disposed of at each locaboa <br /> (Y+I )kIY)c of Lhexm" kc«Is nCV -A-h o� sh p <br /> 3 If as any soil or groundwater analysis been performed to -- <br /> detect pesticides,herbicides or chemicals used at the site' <br /> If so,please provide a summary of the finding or attach the reportisl. <br /> IR SQUARED CONSULTING.INC. ENVIRONMENTAL-ENGINEERING•GEOLOCY <br /> 6532 MCN£IL COURT,VALLEY SPRINGS.CA.95252 PHONE(204)772 3841 FAX(209)7404303 <br />
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