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SU0007512 SSCRPT
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SU0007512 SSCRPT
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Last modified
5/7/2020 11:33:06 AM
Creation date
9/8/2019 12:37:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007512
PE
2622
FACILITY_NAME
PA-0800362
STREET_NUMBER
3650
Direction
N
STREET_NAME
OVERHISER
STREET_TYPE
RD
City
STOCKTON
APN
08705416
ENTERED_DATE
12/16/2008 12:00:00 AM
SITE_LOCATION
3650 N OVERHISER RD
RECEIVED_DATE
12/12/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\O\OVERHISER\3650\PA-0800362\SU0007512\SSC RPT.PDF
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EHD - Public
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Scannavino Property SSCR Page 9 of 9 <br /> Our Project Number: LES080579 <br /> October 21,2008 <br /> 1. Have pesticides, herbicides or other agricultural chemicals been Yes ❑ No <br /> applied to the property? If so, please describe the locations <br /> where such pesticides, herbicides or chemicals were applied, and <br /> the type of pesticides, herbicides or chemicals applied in each <br /> area. (Please attach copies of pestldde use reports ifauailablej <br /> 2. Have pesticides, herbicides or other agricultural chemicals been ❑ Yes F%'-f Na <br /> mixed, formulated, rinsed, or disposed of on the property? If so, <br /> please describe the locations where such pesticides, herbicides or <br /> chemicals were mixed, formulated, rinsed, or disposed, and the <br /> type of pesticides, herbicides or chemicals mixed, formulated, <br /> rinsed or disposed of at each location. <br /> 3. Has any soil or groundwater analysis been performed to detect ❑ Yes XNo <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings or attach the report(s). <br /> ENDORSEMENTS <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of <br /> the property (or the duly authorized representative of such owner), I am familiar with all of the <br /> operations presently conducted on the property, and hereby certify that to the best of my <br /> knowledge, information, and belief the information disclosed above is true and correct. <br /> lle,—0 <br /> Owner or Key Site Manager's Signature Date <br /> Z QQ `t 1 E_ c ��-i,1,1 0. I ✓1 0 <br /> Owner or Key Site Manager's Name (please print) <br /> 0—s 1-C <br /> Z �, <br /> Itle, Company <br /> '44 <br /> 902 Industrial Way- Lodi, CA 95240-209.367.3701 • Fax 209.369.4228 02008 Nei(0.Anderson&Associates,Inc. <br />
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