SU0006003 SSCRPT - Laserfiche WebLink

Home Browse Search

f f r f IF f f- r 1 1 1 I I I I Site Transaction Screen Questionnaire .2329-East Vine Street(APN 141-195-23), Stockton—Appendix E1 GPI Environmental Management Section 1 - Questionnaire _ Owner Occupants Observed During Site Visit la. Is the property used for an industrial use? Yeso' Unk Yes No Unk Yes tIJ Unk 1b. Is any adjoining property used for an industrial use? Yes No Unk Yes No Unk Yes Unk 2a. Did you observe evidence or do you have any prior knowledge that the property has been Yes No Unk Yes No Unk Yes Unk used for an industrial use in the past? 2b. Did you observe evidence or do you have any prior knowledge that any adjoining property Yes No Unk Yes No Unk Yes Q Unk has been used for an industrial use in the past? 3a. Is the property used as a gasoline station,motor repair facility, commercial printing facility, Yes No Unk Yes No Unk Yes Unk dry cleaners, photo developing laboratory,junkyard or landfill, or as a waste treatment, storage,disposal,processing, or recycling facility(if applicable, identify which)? 3b. Is any adjoining property used as a gasoline station, motor repair facility, commensal YesNo Unk Yes No Unk Yes ® Unk printing facility, dry cleaners, photo developing laboratory, junkyard or landfill, or as a waste treatment, storage, disposal, processing,or recycling facility(if applicable, identify which)? 4a. Did you observe evidence or do you have any prior knowledge that the property has been Yes No> Unk Yes No Unk Yes ® Unk used as a gasoline station,motor repair facility,commercial printing facility, dry cleaners, \/ photo developing laboratory, junkyard or landfill, or as a waste treatment, storage, disposal, processing,or recycling facility(if applicable, identify which)? 41b. Did you observe evidence or do you have any prior knowledge that any adjoining property Yes No Unk Yes No Unk Yes No Unk has been used as a gasoline station, motor repair facility,commercial printing facility, dry cleaners, photo developing laboratory, junkyard or landfill, or as a waste treatment, storage,disposal, processing,or recycling facility(if applicable, identify which)? 5a. Are there currently any damaged or discarded automotive or industrial batteries, Yes Unk Yes No Unk Yes ® Unk pesticides, paints, or other chemicals in individual containers of>5 gal (19 L)in volume or 50 gal(190 L)in the aggregate, stored on or used at the property or at the facility? 5b. Did you observe evidence or do you have any prior knowledge that there have been Yes No Unk Yes No Unk Yes L% Unk previously any damaged or discarded automotive or industrial batteries, or pesticides, paints, or other chemicals in individual containers of>5 gal (19 L) in volume or 50 gal (190 L)in the aggregate, stored on or used at the property or at the facility? 6a. Are there currently any industrial drums (typically 55 gal (208 L)) or sacks of chemicals Yes No Unk Yes No Unk Yes No Unk located on the property or at the facility? 61b. Did you observe evidence or do you have any prior knowledge that there have been Yes NOj Unk Yes No Unk Yes Unk previously any industrial drums(typically 55 gal (208 L)) or sacks of chemicals located on the property or at the facility? �--�� 7a. Did you observe evidence or do you have any prior knowledge that fill dirt has been Yes t rvo /Unk Yes No Unk Yes Unk brought onto the property that originated from a contaminated site? `� 7b. Did you observe evidence or do you have any prior knowledge that fill dirt has been Yes No Unk Yes No Unk Yes1(1 Unk brought onto the property that is of an unknown origin?