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SU0006629 SSCRPT
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SU0006629 SSCRPT
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Last modified
5/7/2020 11:32:36 AM
Creation date
9/6/2019 10:10:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006629
PE
2622
FACILITY_NAME
PA-0700255
STREET_NUMBER
2067
Direction
E
STREET_NAME
MICHAEL
STREET_TYPE
AVE
City
STOCKTON
APN
17724008
ENTERED_DATE
7/10/2007 12:00:00 AM
SITE_LOCATION
2067 E MICHAEL AVE
RECEIVED_DATE
7/10/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MICHAEL\2067\PA-0700255\SU0006629\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07054A <br /> Property Location: 2067 Michael Avenue, Stockton, CA 95206 <br /> Page 4 of 11 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase I Environmental Site Assessment being prepared for the property (or the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> � (�? C)Lt <br /> er r Clients Signa re Date <br /> LparC-CULL � Joh , \ <©-t) <br /> User or Client's Name (please print) <br /> Title, Company <br /> V <br /> 6. <br /> v <br /> Ifyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 est. 238. <br /> IFA <br />
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