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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
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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 1 rerracon <br /> Proposed Parcel Division Acampo,CA <br /> December 13, 2017 Terracon Proposal No. PNA177074 <br /> ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owners representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property: <br /> Name: —lorrr.D CSR P,p �rJi7 <br /> Address: (OS 1(0 PE-LT r f Q- CZO Pc-LAY'�9o C-r� <br /> Telephone: 2-09 -5�% �-D9c 4 <br /> Year purchased: (c1 $`d <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: �J r C-1 o,--,q i t=r2.r DG ST CoQ- r P-1 IA- 0 <br /> Address: t o-Sr (�1Z7_r E tZ Pc�sv v-o GA <br /> Telephone Zv `� <br /> Year purchased: f <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: 14-0mEs 1'rte G <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each <br /> use: _ <br /> Responsive aResourceful EReliable 3 <br />
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