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SU0006110
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SU0006110
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Last modified
12/17/2019 1:43:47 PM
Creation date
9/6/2019 10:18:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006110
PE
2611
FACILITY_NAME
PA-0500544
STREET_NUMBER
22801
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
APN
20908025
ENTERED_DATE
7/5/2006 12:00:00 AM
SITE_LOCATION
22801 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
7/3/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\22801\PA-0500544\SU0006110\CDD OK.PDF
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EHD - Public
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L KLEINFELDER <br /> L APPENDIX G <br /> APPLICATION FOR AUTHORIZATION TO USE <br /> PHASE I ENVIRONMENTAL SITE ASSESSMENT <br /> MOUNTAIN HOUSE PARKWAY <br /> TRACY,CALIFORNIA <br /> File Number:21073.P01 Report Date:November 12,2002 <br /> �. TO: Kleinfelder,Inc. <br /> 2825 East Myrtle Street <br /> Stockton, California 95205 <br /> Telephone: (209)948-1345 <br /> Fax: (209)948-0621 <br /> To Whom It May Concern: <br /> V Applicant understands and agrees that the Phase I Environmental Site Assessment(ESA)for the subject site is a <br /> copyrighted document, that Kleinfelder, Inc., is the copyright owner and that unauthorized use or copying of the <br /> ESA is strictly prohibited without the express written permission of Kleinfelder, Inc. Applicant understands that <br /> Kleinfelder, Inc., may withhold such permission at its sole discretion, or grant such permission upon such terms and <br /> conditions as it deems acceptable. <br /> Applicant agrees to accept the contractual terms and conditions between Kleinfelder, Inc. and Pegasus — MH <br /> Ventures I, LLC, originally negotiated for preparation of this ESA. Use of this document without percussion <br /> releases Kleinfelder,Inc. its owners, employees and subcontractors from any liability that may arise from use of this <br /> report. <br /> To be Completed by Applicant <br /> (Company Name) (Print Name) <br /> (Address) (Signature) <br /> (City, State,Zip) (title) <br /> (Telephone) (Fax) (date) <br /> Approval of Original Client <br /> .. By: <br /> (Client Signature) (date) <br /> (Client Name and Title) <br /> For Kleinfelder,Inc.'s use only <br /> 6. Approved for re-use with additional fee of 1i <br /> Approved for re-use with applicant's agreement to following conditions: <br /> Applicant agrees to above terms and understands that findings discussed in report were based on <br /> t available information and site conditions as noted at time of ESA <br /> L Disapproved,report needs to be updated <br /> L By: Date: <br /> (Kleinfelder, Inc. Manager) <br /> L <br /> I, <br /> 21073.PO1 /ST02R761 Page G-t <br /> Copyright 2002 Kleinfelder,Inc. November 12,2002 <br /> I, <br />
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