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SU0004677 SSCRPT
Environmental Health - Public
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SU0004677 SSCRPT
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Last modified
5/7/2020 11:31:06 AM
Creation date
9/9/2019 10:21:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004677
PE
2622
FACILITY_NAME
PA-0400614
STREET_NUMBER
7663
STREET_NAME
STOW
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
18310003
ENTERED_DATE
10/22/2004 12:00:00 AM
SITE_LOCATION
7663 STOW AVE
RECEIVED_DATE
10/18/2004 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\S\STOW\7663\PA-0400614\SU0004677\SSC RPT.PDF
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EHD - Public
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�.. .,. <br /> J?J <br /> � <br /> August 30,2004 <br /> FOR: Mr. Henry Van Vuren <br /> 7663 Stow Road <br /> Stockton,CA 95215 <br /> PROJECT: Proposed Parcel Split. APN 183-100-03 <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please mail or fax this document back to Chesney Consulting upon completion. <br /> 1. Is there, or has there ever been to your knowledge,any type of above ground or underground storage <br /> tanks qh hsubject property, or any type of buried containers? <br /> 0 <br /> 2. Please provide a list of the pesticides,if any,that have been applied to the subject pro�erty acreage in <br /> the past three years. Are pesticides/herbicides mixed on the property before spraying. If so,where? <br /> Are pesticides applied to property surrounding the subject property? Are there any wells(domestic or <br /> irrigation)on the property. Is water supplied by an Imgation District? <br /> Pesticides: G <br /> Wells/Irrigation District: JRR 1 Ou wY <br /> Aon <br /> 3. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if <br /> any? /I/OA1 C <br /> T <br /> 4. Are any hazardous materials stored on the property? If so,where? Are you aware of any hazardous <br /> material release on,or around your property? <br /> Hazardous Materials: A6Ne <br /> Hazardous Materials Release: Qjowlf <br /> 5. How long have you owned the property and who were the prior owners, if known? What activities <br /> have taken place on the property since you have owned it? What is the proposed use of the property <br /> after subdivision? <br /> Ownership: DL4 eA ✓ S t /V o <br /> Activities: -Sk�"r-- <br /> Proposed Use: .04S7 u re- <br /> 6. Are there any easements through the property,or any underground pipelines? 1yo <br /> 7. Is ther a oposed zo chan of the property? <br /> Signed <br /> Zc Date: <br /> Thank you for your e. If there should be any questions,please give me a call. <br /> Sincerely, <br /> ALI.- <br /> Don Ches ey,R.E.A. <br /> T. O. Box 3794 ♦ Turlock CA 95381 4 Office(209)668-1403 ♦ Edy,(209)668-2598 <br />
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