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SU0005947_SSCRPT
Environmental Health - Public
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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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L <br /> NOA JOB NUMBER: E05144A <br /> PROPERTY LOCATION: 20913 E. St.Rt. 12,Clements, CA <br /> �. Page 9 <br /> III. STORAGE TANKS AND OTHER CHEMICAL STORAGE ❑ Yes No <br /> i_ <br /> Are there currently, or to the best of your knowledge have there been <br /> previously, any registered or unregistered gasoline, diesel, fuel oil or other <br /> chemical storage tanks (above or underground) located on the property? <br /> Are any pesticides, paints, or other chemicals stored or used on the ❑Yes ❑ No <br /> L property in drums, sacks or other containers greater than 5 gallons each or <br /> 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 capacity: <br /> 2. Have the tanks been inspected or tested for leakage? When was <br /> the most recent test? What were the results? (Please attach copies <br /> of results if available). <br /> i <br /> 3. For other storage containers, please describe the substances, <br /> quantities stored, and types of containers. <br /> 4. Have there been any spills, leaks, or other releases of chemicals on ❑ Yes A No <br /> •- the property? If so, please describe the chemicals and quantities <br /> released, any cleanup measures taken, and the results of any soil <br /> or groundwater samples performed to detect the presence of <br /> L chemicals spilled, leaked, or released on the property. <br /> 5. Please attach copies of any permits or licenses pertaining to the use, <br /> storage, handling, or disposal of chemicals on the property. <br /> L <br /> lfyou have any questions about this questionnaire,please contact James Robinson at(209)367-3701 va 222 <br /> L <br /> L v <br />
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