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SR0047025 SSCRPT
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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 02:14P 7077668385 <br /> � page 11 <br /> Surface and Subsurface contamination Report Questionnaire <br /> F NOA Project Number: E06063A <br /> Property rotation: Bird Road, Tracy, CA 95376 <br /> a <br /> Page 11 <br /> _l 2. Have pesticides, herbicides or other-&griculturat chemicals been mixed, Yes No <br /> formulated, rinsed, or disposed of on the property? If so, please <br /> describe the locations where such pesticides, herbicides or chemicals <br /> c Were mixed, formulated, rinsed, or disposed, and the type of <br /> pesticides, herbicides or chemicals mixed, formulated, rinsed or <br /> disposed of at each location, <br /> 1 + <br /> 3. Has any soil or groundwater analysis been performed to detect Yes No <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings or attach the report(s). <br /> } k <br /> ( ENDORSEMENTS: <br /> f <br /> Part 2 <br /> As the present owner of the property or as g partner of the present owner'of the <br /> k P Pe Y an officer or general <br /> rt property(or the duly authorized representative of such owner), I am familiar with all of the operations <br /> r e presently conducted on the propetty, and hereby certify <br /> P I Ya Y that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> 06 <br /> Owner or Key.rte Manager's'Signature <br /> ate <br /> ��� ���(''��-- �D U--�i•z'l�`�14.1 <br /> Owner or Key Site Manaus Name(Ptease print} <br /> Title, Company — <br /> � 1/.+Y�u liur�rrnY[Jrna7rruig uhurrllhia'1�![E.4hrNUlrliR',pkasc rur�vrrs'd:lhl;i'!{urrri of rally) i67-37!11�xi, ?-i>f <br /> , i <br />
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