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SU0011532 SSCRPT
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SU0011532 SSCRPT
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Last modified
10/1/2019 3:09:43 PM
Creation date
9/5/2019 10:55:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0011532
PE
2622
FACILITY_NAME
PA-1700236
STREET_NUMBER
3928
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
13003012 & 13
ENTERED_DATE
10/11/2017 12:00:00 AM
SITE_LOCATION
3928 E HAMMER LN
RECEIVED_DATE
10/9/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\3928\PA-1700236\SU0011532\SUR SUB RPT.PDF
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EHD - Public
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Owner Questionnaire—Phase 1 Environmental Site Assessment <br /> Southwest Corner of E. Hammer Ln & Maranatha Dr. m Stockton, CA 1 rarracon <br /> July 6, 2015 -z Terracon Project No. NA157024 <br /> ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> FOR PROPERTY OWNER/SITE MANAGER <br /> SITE ADDRESS: SOUTHWEST CORNER OF EAST HAMMER LANE &MARANATHA DRIVE <br /> STOCKTON, SAN JOAQUIN COUNTY, CALIFORNIA <br /> 1. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: SGeq- /. / —�— <br /> Address: �D 5�� 'Te.-r ,t z3 5-1,,n,5-1,,n,t//✓Q/ 9`� <br /> . � <br /> / / Ot <br /> Telephone: ( p�17,9�_ /90� <br /> Year purchased: ,-_2 7 <br /> 2. Previous owner((�s);;and contact information (if known): <br /> Name: /hP, rmC/ /�j/ `1 <br /> Address: ,Mo S'`_ L/ — / //*V9 17, �7 O <br /> TeIephone:(7l�V�7-364-I?d9 / <br /> Year purchased: 47�� <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> l% ,-t7'-- ��� ie2-� <br /> 5. Please describe any other known past use(s)of property, and approximate dates of each use: <br /> 6. Are there any businesses using any portion of the property which are ❑ Yes 1�-No <br /> operated by an entity other than the property owner (including a tenant <br /> farming operation)? If yes, please provide contact name and phone <br /> number for each: <br /> 7. To the best of your knowledge has the property ever been used as a ❑ Yes , c�No <br /> gasoline station, motor repair facility, commercial printing facility, dry <br /> Responsive r Resourceful a Reliable 1 <br />
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