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SR0049059 SSCRPT
Environmental Health - Public
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SR0049059 SSCRPT
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Entry Properties
Last modified
1/15/2020 10:44:58 AM
Creation date
9/4/2019 10:58:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0049059
PE
2603
STREET_NUMBER
1018
Direction
S
STREET_NAME
CARROLL
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15908310
ENTERED_DATE
12/5/2006 12:00:00 AM
SITE_LOCATION
1018 S CARROLL AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\C\CARROLL\1018\SSCR ONLY SR0049059.PDF
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EHD - Public
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f <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06146A <br /> Property Location: 1018 Ft 1020 S. Carroll Ave, Stockton, CA <br /> Page 4 <br /> 4-� ENDORSEMENTS: <br /> Part 1 <br /> Fil As the User of the Phase I Environmental Site Assessment being prepared for the property (or the duly <br /> authorized representative of such User), 1 have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> F:' <br /> information, and belief the information disclosed above is true and correct. <br /> n <br /> User or Client's Signature D to <br /> �iUser or Client's Name (please print) <br /> -77 <br /> Fi; Titie, Company <br /> F <br /> t <br /> t <br /> F., <br /> If you have any questions about this questionnaire,please contact Tina Cheney at(2 09)367-3701 ext. 233. <br /> F, <br />
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