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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
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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 9 � <br /> 7. If so, has a survey been conducted to assess the type, ❑Yes }�N0 <br /> amount, location and condition of asbestos? (Please attach / \ <br /> a copy of any survey report.) <br /> III. STORAGE TANKS AND OTHER CHEMICAL STORAGE Yes U No <br /> Are there currently, or to the best of your knowledge have there <br /> been previously, any registered or unregistered gasoline, diesel, <br /> fuel oil or other chemical storage tanks (above or underground) <br /> located on the property? <br /> Are any pesticides, paints, or other chemicals stored or used on ❑Yes jKt No <br /> the property in drums, sacks or other containers greater than 5 <br /> gallons each or 50 gallons in the aggregate? <br /> If the answer to either question is "yes," please answer the questions <br /> below: <br /> 1. For each tank, please list substance stored and tank <br /> capacity: <br /> #b e Yr �( 1 e 5 zl c w k DOC <br /> 2. Have the tanks been inspected or tested for leakage? When <br /> was the most recent test? What were the results? (Please <br /> attach copies of results if available). <br /> _ 3. For other storage containers, please describe the <br /> substances, quantities stored, and types of containers. <br /> r <br /> r <br /> Ijyou have any questions about this questionnaire,please contact Rebecca Haskett at(209)367-3701 <br /> r <br /> r <br />
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