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SU0003965 SSCRPT
Environmental Health - Public
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SU0003965 SSCRPT
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Last modified
5/7/2020 11:30:26 AM
Creation date
9/6/2019 10:39:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003965
PE
2622
FACILITY_NAME
PA-0200086
STREET_NUMBER
21461
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
APN
05322003
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
21461 E KETTLEMAN LN
RECEIVED_DATE
3/22/2002 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\21461\PA-0200086\SU0003965\SSC RPT.PDF
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EHD - Public
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�- ..01 <br /> F. POLYCHLORINATED BIPHENYLS (PCBs) <br /> 1. Have polychlorinated biphenyls been used in electrical transformers, capacitors or <br /> other equipment at the property? <br /> No <br /> 2. If so, please describe the use and quantity of PCBs used on the property. <br /> Not applicable <br /> G. AER EMISSION <br /> 1. Describe air emissions from each source (including wood burning stoves or fireplaces) <br /> of air pollutants, including fuel burning equipment (describe type of fuel burned), on the <br /> property. <br /> Residence has a wood burning fireplace <br /> 2. Describe air pollution control equipment used to reduce emissions for each source of <br /> air emissions. <br /> None <br /> 2. Are air emissions monitored? If so, indicate frequency of monitoring. <br /> Not applicable <br /> 3. Please attach copies of any air permits or licenses pertaining to operations on the <br /> property. <br /> None <br /> H. WATER DISCHARGES <br /> 1. List all sources of waste water discharges to surface waters, septic systems, or holding <br /> ponds. <br /> None <br /> b <br />
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