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SU0005781 SSCRPT
Environmental Health - Public
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SU0005781 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/9/2019 10:12:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005781
PE
2622
FACILITY_NAME
PA-0500761
STREET_NUMBER
17201
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
APN
22916015
ENTERED_DATE
11/21/2005 12:00:00 AM
SITE_LOCATION
17201 S SEIDNER AVE
RECEIVED_DATE
11/21/2005 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\S\SEIDNER\17201\PA-0500761\SU0005781\SSC RPT.PDF
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EHD - Public
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\. .. N✓ *Ms <br /> NOA JOB NUMBER: P05243 <br /> PROPERTY LOCATION: 17201 S. Seidner Rd., Escalon, CA <br /> Page 9 <br /> 7. If so, has a survey been conducted to assess the type, ❑Yes l No <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 J�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 ',l#'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 /> 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 /> Ifyou have any questions about this questionnaire,please contact Abby Racco at(209)367-3701 ext 238 <br />
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