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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
Tags
EHD - Public
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NOA EgNMONMENT L JOB NUMBER LE03-161 <br />PROPERTY LOCATIOM 9249 South Henry Road, Farmington, CA 95230 <br />ENDORSEMENTS: <br />PART 1 <br />As the User of the Phase 1 Environmental Assessment being prepared for the property (or the duly <br />authorimd representative of such llrnr), T have Rneeific knowledge of the questions posed in PART <br />1 of this Questionnaire regarding the property, and hereby certify to and for the benefit of <br />Lender/Purchaser that to the best of my knowledge, information and belief the information disclosed <br />above to true and correct. <br />em7w D ,'+"PZe"QQ6 <br />User or Client's name <br />Signalre and date <br />d2XAASPI-- <br />Title <br />PART 2 <br />As the present owner of the property or as an officer or general partner of the present owner of the <br />property (orthe duly authorized representative of such owner), I am familiar with all ofths operations <br />presently conducted on the property, and hereby certify to and for the benefit of Lender/Purchaser <br />that to the beat of my knowledge, information and belief the information disclosed above is true and <br />conroot, <br />_&MnE O. - <br />Owner's or Key Site Manager's name <br />tY )s*H <br />Title <br />ijyou have =y qutsitons about this quesliurmalre, please confacl Ikic RaWitY at (709)367-3701 12 <br />
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