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SU0006448 SSCRPT
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SU0006448 SSCRPT
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Last modified
5/7/2020 11:32:25 AM
Creation date
9/9/2019 9:07:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006448
PE
2611
FACILITY_NAME
PA-0700055
STREET_NUMBER
4100
Direction
W
STREET_NAME
RIVIERA
STREET_TYPE
DR
City
STOCKTON
APN
10904020 21
ENTERED_DATE
2/21/2007 12:00:00 AM
SITE_LOCATION
4100 W RIVIERA DR
RECEIVED_DATE
2/21/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\RIVIERA\4100\PA-0700055\SU0006448\SSC RPT.PDF
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EHD - Public
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Surface Subsurface Report Questionnaire Page 4 of 10 <br /> Riviera Estates,4108 Riviera Dr.,APN 109-040-21 <br /> Our Project Number: E07092A <br /> May 31, 2007 <br /> NEIL O.ANDERSON&ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: 1)✓ 0--J Wtc e-1 z Focke. o o� ;c �u��� a��t Vvl r <br /> Address: I Z� s e.c)v" �at Gr't q_t S-7 <br /> f <br /> Telephone: Z-7' ) '5-1 3 <br /> Year purchased: 7—pp(o <br /> 2. Previous owner(s) and contact information(if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: RicAAo--vA 0- <br /> Address: <br /> Address: Lf I D o f v i enl o�- �� 5 �U c}�#-a v� { C14 9 S 2-6`-1 <br /> Telephone:(2-09 3oz <br /> Relationship to property: lv�x+ �oo✓ 11 r.� �o-� <br /> 4. Please descrlbe current use(s)of property: <br /> UO-Ca-n-+- L0+ <br /> S. Please describe any other known past use(s) of property,and approximate dates of each use: <br /> "JinG�\L �OIVY�� lit �'e_�il� 'Y�✓�Ce Gil V-,C-e . <br /> R02 Jndusbfal Way•Ladi,G4 95240 <br /> 209.367.3701-Fax 209.333 8303 02007 Neil 0.Anderson&Associates,Inc. <br />
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