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SR0047025 SSCRPT
Environmental Health - Public
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SR0047025 SSCRPT
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Entry Properties
Last modified
1/8/2020 9:25:27 AM
Creation date
9/4/2019 10:23:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0047025
PE
2603
STREET_NUMBER
0
STREET_NAME
BIRD
STREET_TYPE
AVE
City
TRACY
Zip
95367
APN
23911004
ENTERED_DATE
6/13/2006 12:00:00 AM
SITE_LOCATION
BIRD AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\B\BIRD\23354\SSCR ONLY SR0047025.PDF
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EHD - Public
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MAY 19,2006 02:13P 707668386 page 4 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06063A <br /> Property Location: Bird Road, Tracy, CA 95376 <br /> Page 4 <br /> ENDORSEMENTS: <br /> �j Part 1 <br /> As the User of the Phase i Environmental Site Assessment being prepared for the property for the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> r this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> informar.ion, and belief the information disclosed above is true and correct.. <br /> rte. ` rr :4 <br /> User or Clients Signature Dake <br /> _V <br /> User or cliernt's Name(please print) r <br /> KTN <br /> Title, Company -- <br /> u <br /> i <br /> i <br /> t,r <br /> �i <br /> �l <br /> I <br /> I <br /> � � lfikkfiaFq:�i,lr yucsliores u5rrdi t14,�yrMslivru�ain,ph'uac'�wrNur1.4h7nKrtrru rpt f3P9J 367-37Uf c'.cl. �;� <br /> cr: <br /> * d <br />
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