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SU0005947_SSCRPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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2600 - Land Use Program
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PA-0600098
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SU0005947_SSCRPT
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Last modified
11/19/2024 3:46:25 PM
Creation date
9/9/2019 10:24:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005947
PE
2622
FACILITY_NAME
PA-0600098
STREET_NUMBER
20899
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
APN
02311024
ENTERED_DATE
3/7/2006 12:00:00 AM
SITE_LOCATION
20899 E HWY 12
RECEIVED_DATE
3/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\20899\PA-0600098\SU0005947\SSC RPT.PDF
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EHD - Public
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i <br /> NOA JOB NUMBER: E05144A <br /> t <br /> PROPERTY LOCATION: 20913 E. St.Rt. 12,Clements,CA <br /> L Page 8 <br /> II. STRUCTURES <br /> i <br /> Are there currently any structures on the property? lVYes UNo <br /> y� <br /> To the best of your knowledge, have there been any structures on the U 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 /> i <br /> 2. For each building known to have been removed, please provide <br /> type of building and approximate dates the building existed: <br /> 4 <br /> 3. If known, please provide the name and phone number of the project <br /> L„ Architect and Civil Engineer of the current facilities. <br /> L <br /> 4. Provide a brief description of development with property d imensions, <br /> area, and acreage. <br /> 5. Are there currently, or to the best of your knowledge have there U Yes U No <br /> L 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 /> i. <br /> 6. If any buildings were constructed prior to 1980, is there currently or U Yes U No <br /> was there previously asbestos in any of the construction materials <br /> contained in the building(s)? <br /> L, 7. If so, has a survey been conducted to assess the type, amount, U Yes U No <br /> location and condition of asbestos? (Please attach a copy of any <br /> i survey report.) <br /> L <br /> Ifyou have any questions about this questionnaire,please contact James Robinson at(209)367-3701 ext 222 <br /> L <br /> i <br />
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