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SU0004687 SSCRPT
Environmental Health - Public
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SU0004687 SSCRPT
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Last modified
5/7/2020 11:31:06 AM
Creation date
9/8/2019 1:03:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004687
PE
2622
FACILITY_NAME
PA-0400634
STREET_NUMBER
11515
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
APN
10328013
ENTERED_DATE
11/3/2004 12:00:00 AM
SITE_LOCATION
11515 E NORMAN AVE
RECEIVED_DATE
11/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\SSC RPT.PDF
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EHD - Public
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OCT-4-2004 09:27A FROM: /3694228 P:9 <br /> JSP 1 'a ZUUT _`ihld vwo,�, 'ENVIK0 -U� p� -'.:c � No 54411 <br /> NOA 1013 NUMBER: E04112A <br /> PROPERTY LOCATIUN: 11255 & 11515 East Norman Avenue, Stockton, California <br /> Page 8 <br /> II. STRUCTURES / <br /> Are there currently any structures on the property? Q Yes 16No <br /> To the best of your knowledge, have there been any structures on the ❑ Yes �(No <br /> 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 and date <br /> of original construction and any substantial renovations: <br /> 2. For each building known to have been removed, please provide <br /> type of building and approximate dates the building existed: <br /> 3. If known, please provide the name and phone number of the project <br /> Architect and Civil Engineer of the current facilities. <br /> 4. Provide a brief description of development with property dimensions, <br /> area, and acreage. <br /> 5. Are there currently, or to the best of your knowledge have there ❑Yes A�No <br /> been previously, any flooring, drains, or walls located within the <br /> facility that are stained by substances other than water or are <br /> emitting foul odors? <br /> 0. If any buildings were constructed prior to 1980, is there currently or a Yes )] No <br /> was there previously asbestos in any of the construction materials <br /> contained in the building(s)? <br /> 7. If so, has a survey been conducted to assess the type, amount, YesZNO <br /> location and condition of asbestos? (Please attach a copy of any <br /> survey report-) <br /> If you have any quesdon,+about this questionnaire-please contact Abby Rocco at 009)367-3701 ext 38 <br /> PRGE:q <br /> SEP-16-20e4 THU ev:32AM I0: <br />
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