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SU0005837 SSCRPT
Environmental Health - Public
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SU0005837 SSCRPT
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Last modified
5/7/2020 11:31:48 AM
Creation date
9/9/2019 10:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005837
PE
2622
FACILITY_NAME
PA-0500829
STREET_NUMBER
16411
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
APN
22922030
ENTERED_DATE
12/21/2005 12:00:00 AM
SITE_LOCATION
16411 S VICTORY RD
RECEIVED_DATE
12/20/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VICTORY\16411\PA-0500829\SU0005837\SSC RPT.PDF
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EHD - Public
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SSCR Site Reconnaissance Checklist <br /> NOA Project Number: E05148A <br /> Page 3 <br /> 9. Is there observed evidence that fill dirt has been brought onto the site which originated <br /> _ from a contaminated site or an unknown location? <br /> Yes ❑ No Q <br /> 10. a. Is there observed evidence of pesticides, automotive or industrial batteries, or other <br /> chemicals being stored or used at the property? <br /> Yes ❑ No Q Agricultural chemicals likely applied to property <br /> b. Within 250 feet? <br /> Yes ❑ None observed Q <br /> Agricultural chemicals likely applied to adjacent fields <br /> 11. a. Are there any industrial drums or sacks of chemicals observed on the subject <br /> property? <br /> Yes ❑ No Q <br /> b. Within 250 feet? <br /> Yes ❑ None observed Q <br /> 12. a. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> Yes ❑ No Q <br /> b. Within 250 feet? <br /> Yes ❑ None observed Q <br /> 13. Identify any surface waters observed within 1,000 feet of the subject property. <br /> Campbell Lateral irrigation canal located immediately south <br /> 14. a. Identify the potable water supply source: <br /> ❑ Public Water System Q None <br /> ❑ Private Well ❑ Not observed <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> — Yes Q No ❑ <br /> Private wells likely at nearby residences <br /> 15. Identify the sewage disposal system: <br /> ❑ Public Sewer System Q None <br /> ❑ Private Septic System ❑ Not observed <br /> 16. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes ❑ No Q <br /> — <br />
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