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SU0000077_SSC RPT
EnvironmentalHealth
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2600 - Land Use Program
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MS-00-14
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SU0000077_SSC RPT
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Last modified
4/8/2022 5:23:23 PM
Creation date
3/29/2022 1:34:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0000077
PE
2622
FACILITY_NAME
MS-00-14
STREET_NUMBER
23755
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
23755 N DEVRIES RD
RECEIVED_DATE
6/13/2000 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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4. Has the owner or occupant of the property been informed of the past or <br /> current existence of hazardous substances or petroleum products or <br /> environmental violations with respect to the property or any facility located on the <br /> property? <br /> 5. Does the owner or occupant of the property have any knowledge of any <br /> environmental site assessment of the property or facility that indicated the <br /> presence of hazardous substances or petroleum products on, or contamination <br /> of, the property or recommended further assessment of the property? <br /> A/ <br /> ENDORSEMENT: <br /> As the present owner of the property or as an officer or general partner of the present <br /> owner of the property(or the duly authorized representative of such owner), I am familiar <br /> with all of the operations presently conducted on the property, and hereby certify to and <br /> for the benefit of Lender/Purchaser that to the best of my knowledge, information and <br /> belief the information disclosed above is true and correct. <br /> k--4 �Vi4 1 b ".D. �0� /�'1,V,:5— <br /> Owner's or Key Site Manager's name <br /> Signature and date <br /> Title <br /> epa\forms\question.frm <br /> - q - <br />
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