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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
Scanner
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 09:28A FROM: 3694228 P:12 <br /> pct` it .:Ulf; tom A BVI.,V 'U!+ '.1tiS 4 No b4,- <br /> NOA 1013 Numw!R: E04112A <br /> PROPERTY L,OCATIQN: 11255 & 11515 East Norman Avenue, Stockton, California <br /> Page 11 <br /> V.AGRICULTURAL PROPERTIES <br /> Is the property currently Used for agricultural purposes, other that grazing 0 Yes >�(No <br /> or pasture land? <br /> To the best of your knowledge, has the property been used in the past for U Yes �(No <br /> agricultural purposes, other that grazing or pasture land? <br /> If the answer to either question its"yes," please answer the following: <br /> 1. Have pesticides, herbicides or other agricultural chemicals been Q Yes 0 No <br /> applied to the property? If so, please describe the locations where <br /> such pesticides, herbicides or chemicals were applied, the type of <br /> pesticides, herbicides or chemicals applied in each area. (Please <br /> attach copies of pesticide use reports if available-) <br /> 2. Have pesticides, herbicides or other agricultural chemicals been a Yes J No <br /> mixed, formulated, rinsed, or disposed of on the property. <br /> If so, <br /> please describe the locations where such pesticides, herbicides or <br /> chemicals were mixed, formulated rinsed, or disposed, the type of <br /> pesticides, herbicides or chemicals mixed, formulated, rinsed or <br /> disposed of at each location. <br /> 3- Has any soil or groundwater analyses performed to detect 0 Yes 0 No <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings. <br /> if you have an v questions about this questionnaire,please contact Abby Racco at(209)367-3701 ext 38 <br /> PAGE:I2 <br /> SEP-16-2004 THU 09:33 M ID: <br />
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