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SU0010779_SSCRPT
EnvironmentalHealth
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2600 - Land Use Program
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PA-1600024
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SU0010779_SSCRPT
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Entry Properties
Last modified
11/19/2024 3:46:26 PM
Creation date
9/9/2019 10:27:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0010779
PE
2622
FACILITY_NAME
PA-1600024
STREET_NUMBER
7101
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
04913052
ENTERED_DATE
2/5/2016 12:00:00 AM
SITE_LOCATION
7101 E HWY 12
RECEIVED_DATE
2/5/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\7101\PA-1600024\SU0010779\SUBSUR RPT.PDF
Tags
EHD - Public
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Vien Property SSCR Page 2 of 9 <br /> Project Number: NA157033 <br /> August 25,2015 <br /> ENDORSEMENTS <br /> Part 1 <br /> I <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 or Client's Signature Date <br /> NAvN l En/ <br /> User or Client's Name (please print) <br /> Title, Company <br /> Responsive u Resourceful a Reliable <br />
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