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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
Scanner
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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NOA JOB NUMBER: E04130A <br /> PROPERTY LOCATION: 17667 East Liberty Road, Galt <br /> Page 8 <br /> II. STRUCTURES <br /> Are there currently any structures on the property? Yes ❑ No <br /> To the best of your knowledge, have there been any structures on ❑ Yes No <br /> the property in the past which have since been removed? / + <br /> If the answer to either question is "yes," please answer the following: <br /> 1. For each existing building, please provide type of building <br /> and date of original construction and any substantial <br /> renovations: ` <br /> ` Y - C <br /> fokL 5VC1A __ 3 �i <br /> 3 - 2o6I <br /> f-100 <br /> 2. For each building known to have been removed, please <br /> provide type of building and approximate dates the building <br /> — existed: <br /> 3. If known, please provide the name and phone number of the <br /> project Architect and Civil Engineer of the current facilities. <br /> 4. Provide a brief description of development with property <br /> dimensions, area, and acreage. <br /> 5. Are there currently, or to the best of your knowledge have ❑Yes XNo <br /> there been previously, any flooring, drains, or walls located <br /> within the facility that are stained by substances other than <br /> water or are emitting foul odors? ��A[[�� <br /> 6. If any buildings were constructed prior to 1980, is there ❑ Yes No <br /> currently or was there previously asbestos in any of the <br /> construction materials contained in the building(s)? <br /> Ifyou have any questions about this questionnaire,please contact Rebecca Haskett at(209) 367-3701 <br /> r <br /> ll/ <br />
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