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SR0084566_SSCRPT
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2600 - Land Use Program
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SR0084566_SSCRPT
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Last modified
12/29/2021 1:47:31 PM
Creation date
12/29/2021 1:43:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0084566
PE
2603
STREET_NUMBER
18201
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391
APN
20945035
ENTERED_DATE
12/6/2021 12:00:00 AM
SITE_LOCATION
18201 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br />APN: 209-450-35 <br />18201 W GRANT LINE ROAD <br />MOUNTAIN HOUSE, CALIFORNIA <br />PART 2: OWNER INFORMATION <br />IX <br />At the request of Rajachandi Group, Inc., Petralogix Engineering, Inc. is preparing a Surface & Subsurface <br />Contamination Report for the above referenced property. Since you are the owner of the property, we <br />ask that you designate someone as the key site manager or "person with the most knowledge of the <br />property" to complete this form. Alternatively, you as the owner can complete it yourself considering that <br />you are the most knowledgeable person. The designated person should complete the following <br />questionnaire and email it to tscheftner@petralogix.com. If you have any questions about this do not <br />hesitate to call us at 209-770-0731. <br />GENERAL INFORMATION <br />1. Current property owner: <br />Mountain House Square, Inc. <br />Name <br />PO Box 3820 Turlock, CA 95381 <br />Address <br />209-996-6245 <br />Telephone <br />2019 <br />Year purchased <br />26675 Bruella Road • Galt, CA 95632. 209.400.5729 <br />•'4 VAI 1010 <br />9�+4ytysiu - ttwu unmental - yeviloyy. <br />
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