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SU0006301 SSCRPT
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SU0006301 SSCRPT
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Last modified
5/7/2020 11:32:16 AM
Creation date
9/9/2019 10:16:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006301
PE
2631
FACILITY_NAME
PA-0600557
STREET_NUMBER
3523
Direction
W
STREET_NAME
SONOMA
STREET_TYPE
AVE
City
STOCKTON
APN
10909013
ENTERED_DATE
10/11/2006 12:00:00 AM
SITE_LOCATION
3523 W SONOMA AVE
RECEIVED_DATE
10/10/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SONOMA\3523\PA-0600557\SU0006301\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06101A <br /> Property Location: 3523 W. Sonoma Ave., Stockton, CA 95204 <br /> Page 5 <br /> NEIL 0. 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: �o�?>fct2T E • �l1ErtCKE <br /> Address: 3"223 1x1. 50NOUb1a AV6 , 5T6CVTON OA Ct520y <br /> Telephone: ZUq -1010-LiC37 <br /> Year purchased: ?-002 <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: CL)n-KAiv. D, ,OtKE2 <br /> Address: LlNKV)OWN'i <br /> Telephone: <br /> Year purchased: <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: <br /> �E51 t�, Ert�WL_ <br /> ` 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> ^ /jyou have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />
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