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SU0004897 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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SU-01-07
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SU0004897 SSCRPT
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Last modified
5/7/2020 11:31:19 AM
Creation date
9/6/2019 10:30:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004897
PE
2611
FACILITY_NAME
SU-01-07
STREET_NUMBER
11501
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
STOCKTON
APN
00715027
ENTERED_DATE
3/9/2005 12:00:00 AM
SITE_LOCATION
11501 E JAHANT RD
RECEIVED_DATE
3/8/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JAHANT\11501\SU-01-07\SU0004897\SSC RPT.PDF
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EHD - Public
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Question Owner Occupants (if Observed During applicable) Site Visit <br /> 4. To the best of your knowledge, has the Yeo <br /> e No Unk <br /> Yes No Unk Yes No Unk <br /> property or any Adjoining Property been used <br /> as a gasoline station, motor repair facility. <br /> commercial printing facility,dry cleaners, photo <br /> _ developing laboratory,junkyard or landfill, or as <br /> a waste treatment, storage,disposal,processing, or <br /> recycling facility? <br /> 5. Are there currently,or to the best of YesNo Unk <br /> Yes No Unk Yes No Unk <br /> your knowledge have there been previously, <br /> ally damaged or discarded automotive or <br /> industrial batteries,or pesticides,paints, <br /> or other chemicals in individual containers <br /> e greater than five gallons in volume <br /> or fifty gallons in the aggregate, stored on <br /> or used at the Property or at the facility? <br /> r;. pre there currently, or to the bat Yes No Unk <br /> Yes No Unk Yes No Unk <br /> 3f your knowledge have there been <br /> ,previously, any industrial Drums <br /> (typically 55 gallon)or sacks of chemicals <br /> located on the Property or at the facility? <br /> 7. Has Fill Dirt been brought onto the Yes No nk <br /> Yes No Unk Ya No Unk <br /> property which originated from a <br /> contaminated site or which is <br /> of an unknown origin? <br /> March 17, 1994 <br /> 24-160512-AOO/DM18-1w(1994) 7 <br /> tUnk=Unknown or No Response ' <br />
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