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SU0004627_SSCRPT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0400488
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SU0004627_SSCRPT
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Entry Properties
Last modified
11/19/2024 3:46:24 PM
Creation date
9/9/2019 10:23:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004627
PE
2622
FACILITY_NAME
PA-0400488
STREET_NUMBER
11456
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
02506003
ENTERED_DATE
9/2/2004 12:00:00 AM
SITE_LOCATION
11456 W HWY 12
RECEIVED_DATE
9/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\11456\PA-0400488\SU0004627\SSC RPT.PDF
Tags
EHD - Public
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L A1 , 15 . 2004 8: 14AM NOA E 28 <br /> P0 219 .369.42No •5859 u 9 <br /> NOA JOB NUMBER E04095A <br /> PROPERTY LOCATION: Terminous Tract, CA <br /> Page 4 <br /> I ENDORSEMENTS: <br /> 6. <br /> L PART 1 <br /> As the User of the Surface Subsurface Contamination Report being prepared for the property(or <br /> the duly authorized representative of such User),I have specific knowledge of the questions posed <br /> L in PART 1 of this Questionnaire regarding the property, and hereby certify to and for the benefit <br /> of Lender/Purchaser that to the best of my knowledge, information and belief the information <br /> disclosed above is true and correct. <br /> User or Client's name <br /> �Tzo ox <br /> L Signature and date <br /> Title <br /> L <br /> 6. <br /> L <br /> L <br /> lfyou have any questions about this questionn,ire,please contact Robert Nicholson at(209)367-3701 ext 21 <br /> L <br />
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