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SU0004735 SSCRPT
Environmental Health - Public
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SU0004735 SSCRPT
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Last modified
5/7/2020 11:31:09 AM
Creation date
9/6/2019 10:52:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004735
PE
2622
FACILITY_NAME
PA-0400727
STREET_NUMBER
17559
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
APN
00909008
ENTERED_DATE
12/10/2004 12:00:00 AM
SITE_LOCATION
17559 E LIBERTY RD
RECEIVED_DATE
12/7/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\17559\PA-0400727\SU0004735\SSC RPT.PDF
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EHD - Public
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SSSCR Site Reconnaissance Checklist <br /> L NOA Project Number. E040130A <br /> Page 4 <br /> L 13. a.Are there any open or damaged containers containing unidentified substances observed on the subject <br /> property? <br /> None observed <br /> Yes� No <br /> b.Within 250 feet? <br /> Yes O No None observed <br /> r <br /> 14. Identify any surface waters within 1,000 feet.of the subject property <br /> L <br /> Goose Creek runs through the southern part ofthe property and is the southern boundary.Another unnamed <br /> ephemeral creek erns througb the northern part of the property. <br /> 16. a. Identify the potable water supply source: <br /> Public Water System O Other <br /> ` Private Well O None <br /> b. Is there observed evidence of a private well within 1,000 feed <br /> r Yes O No[Z) None observed <br /> 17. Identify the sewage disposal system: <br /> `. O Public Sewer System O Other <br /> O On-site septic system m None <br /> 18. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes O No [0 None observed <br /> ` 19. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes O No None observed <br /> r <br /> Lb.Any discharges observed within 200 feet? <br /> Yes O No ® None observed <br /> L � <br />
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