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LOGE Project Number: 2216 <br />SSCR Questionnaire: Holfman, 7272 Lathrop Rd., Manteca <br />STORAGE TANKS AND OTHER CHEMICAL STORAGE <br />1. Are there currently, or to the best of your knowledge have there been previously, <br />any registered or unregistered gasoline, diesel, fuel oil or other chemical storage <br />tanks (above or underground) located on the property? <br />2. Are there any pesticides, paints, or other chemicals stored or used on the <br />property in drums, sacks, or other containers greater than 5 gallons each or 50 <br />gallons in the aggregate? <br />3. If the answer to either question is "yes," please answer the questions below: <br />a. For each tank, please list substance stored and tank capacity: <br />Page 4/7 <br />Yes No <br />❑ d <br />❑ 2' <br />b. Have the tanks been inspected or tested for leakage? When was the most <br />recent test? What were the results? (Please attach copies of results if ❑ ❑ <br />available.) <br />C. For other storage containers, please describe the substances, quantities <br />stored, and types of containers. <br />e. Please attach copies of any permits or licenses pertaining to the use, <br />storage, handling, or disposal of chemicals on the property. <br />4. Have there been any spills, leaks, or other releases of chemicals on the property? <br />If so, please describe the chemicals and quantities released, any cleanup / <br />measures taken, and the results of any soil or groundwater samples performed to F-1EZ <br />detect the presence of chemicals spilled, leaked, or released on the property. <br />INDUSTRIAL PROPERTIES Yes No <br />1. Is the property currently used for any industrial purpose? ❑ <br />2. Has the property ever been previous used for an industrial purpose (other than <br />the current use)? ❑ C?f' <br />3. If the answer to either question is "yes," please answer the following: <br />a. Has the property been used for disposal of any liquid or solid waste? ❑ ❑ <br />b. Have evaporation or storage ponds been located on the property? ❑ ❑ <br />C. Have waste water treatment facilities, such as acid neutralization vaults, ❑ ❑ <br />been located on the property? <br />d. Are there raw chemical or waste chemical storage areas on the property? ❑ ❑ <br />