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SU0003887 SSCRPT
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SU0003887 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:14 AM
Creation date
9/5/2019 11:16:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003887
PE
2622
FACILITY_NAME
PA-0300332
STREET_NUMBER
9249
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20707013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9249 S HENRY RD
RECEIVED_DATE
7/15/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\9249\PA-0300332\SU0003887\SSC RPT.PDF
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EHD - Public
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.L IIUM <br />NOA gbMRONMENI'A,t. ]OB NUMBER: LE03-161 <br />PROPERTY LOCgTIONi 9249 South Henry Road, Farmington, CA 95230 <br />To the best of your knowledge has the property ever been used as a <br />gasoline station, motor repair facility, commercial printing facility, dry <br />cleaners, photo developing laboratory, junkyard or landfill, or as a <br />waste treatment, storage, disposal, processing, or recycling facility? <br />To the best of your knowledge has any RdJoining property been used <br />as a gasoline station, motor repair faci:iity, commercial printing facility, <br />dry cleaners, photo developing laboratory, junkyard or landfill, or as <br />a waste treatment, storage, disposal, processing, or recycling facility? <br />9. Do you have any knowledge of environmental liens or governmental <br />notification relating to past or recurrent violations of environmental <br />laws with respect to the property or any facility located on the <br />property? <br />10. Do you have any knowledge of the past or current existence of <br />hazardous substances or petroleum products or environmental <br />violations with respect to the property or any facility located on the <br />property? <br />:3L: rr_ <br />O Yes XINo <br />O Yes f' -No <br />O Yea No <br />a Yes xo <br />1 l . Please describe any other relevant historical information in your possession concerning the <br />subject property. <br />Ifyou hava any questions aboul this questionnaire, please contace Eric Rowley at (20)m7.3'01 5 <br />
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