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SU0005992 SSCRPT
Environmental Health - Public
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SU0005992 SSCRPT
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Last modified
12/13/2019 11:08:27 AM
Creation date
9/6/2019 10:23:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005992
PE
2622
FACILITY_NAME
PA-0600182
STREET_NUMBER
14101
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06325027
ENTERED_DATE
4/12/2006 12:00:00 AM
SITE_LOCATION
14101 N JACK TONE RD
RECEIVED_DATE
4/11/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\14101\PA-0600182\SU0005992\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: <br /> Property Location: 13737 N. Jack Tone Rd., Lodi, CA <br /> Page 6 <br /> r <br /> ` 6. Are there any businesses using any portion of the property which are ❑ Yes 5k�No <br /> operated by an entity other than the property owner (including a tenant <br /> farming operation)? If yes, please provide contact name and phone <br /> number for each: <br /> 7. To the best of your knowledge has the property ever been used as a ❑ YesNo <br /> gasoline station, motor repair facility, commercial printing facility, dry <br /> cleaners, photo developing laboratory, junkyard or landfill, or as a <br /> ` waste treatment, storage, disposal, processing, or recycling facility? <br /> r. <br /> r 8. To the best of your knowledge has any adjoining property ever been ❑ Yes I No <br /> used as a gasoline station, motor repair facility, commercial printing " <br /> facility, dry cleaners, photo developing laboratory, junkyard or landfill, <br /> or as a waste treatment, storage, disposal, processing, or recycling <br /> facility? <br /> 9. Do you have any knowledge of environmental liens or governmental ❑ Yes No <br /> notification relating to past or recurrent violations of environmental <br /> Laws with respect to the property or any facility located on the <br /> property? <br /> r <br /> 10. Do you have any knowledge of the past or current existence of ❑ Yes No <br /> hazardous substances or petroleum products or environmental violations <br /> with respect to the property or any facility located on the property? <br /> r <br /> 11. Please describe any other relevant historical information in your possession concerning the <br /> subject property. <br /> O) P-7 e <br /> V <br /> ` Ifyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext.238. <br /> l• <br />
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