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SU0011905 SSCRPT
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SU0011905 SSCRPT
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Last modified
5/7/2020 11:35:30 AM
Creation date
9/8/2019 12:40:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0011905
PE
2622
FACILITY_NAME
PA-1800127
STREET_NUMBER
10516
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01726031, 01726030
ENTERED_DATE
8/21/2018 12:00:00 AM
SITE_LOCATION
10516 E PELTIER RD
RECEIVED_DATE
8/20/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PELTIER\10516\PA-1800127\SU0011905\SURSUB RPT.PDF
Tags
EHD - Public
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Surface Subsurface Contamination Report lr�rrac®n <br /> Proposed Parcel Division Acampo, CA <br /> December 13, 2017 Terracon Proposal No. PNA177074 <br /> ENDORSEMENTS <br /> Part 1 <br /> As the User of the Surface and Subsurface Contamination Report being prepared for the <br /> property (or the duly authorized representative of such User), I have specific knowledge of the <br /> questions posed in Part 1 of this Questionnaire regarding the property, and hereby certify that to <br /> the best of my knowledge, information, and belief the information disclosed above is true and <br /> correct. <br /> User(r) <br /> r lient's Signa Date <br /> JQ C,(ZI rfsLAI <br /> User or Client's Name (pleas6 print) <br /> Title, Company <br /> Responsive ■Resourceful ■Reliable 2 <br />
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