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SU0006527 SSCRPT
Environmental Health - Public
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SU0006527 SSCRPT
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Last modified
5/7/2020 11:32:29 AM
Creation date
9/4/2019 6:43:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006527
PE
2622
FACILITY_NAME
PA-0700162
STREET_NUMBER
6902
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
MANTECA
APN
20605003
ENTERED_DATE
4/18/2007 12:00:00 AM
SITE_LOCATION
6902 E FRENCH CAMP RD
RECEIVED_DATE
4/16/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FRENCH CAMP\6902\PA-0700162\SU0006527\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07024A <br /> Property Location: 6902 E. French Camp Road, Manteca, CA <br /> Page 5 of 11 <br /> NEIL O. ANDERSON Et ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: <br /> Address: F <br /> /U-77 R-t a- 26755/ E. Sor.c4 RvC— <br /> Telephone: g32 - 2668 (aOqca/0 c/ 9'32 0 <br /> 838 -� o6Y <br /> Year purchased: o"Z O O (p <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: 'R"pn4 Zw4rt- C�eCeClSed) <br /> Address: Lynn 6krdtr 04 <br /> Telephone: P R Z f t `MD t� 6R—, <br /> Year purchased: 0`�ke- +0 <br /> nn ore 1r�o, hQr-e, <br /> 3. Other person with historical knowledge of property: 1 1 �{ <br /> Name: KerL zw6�� c7 r �o �^� U vc:, 11 h J <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> LYNN GARBER <br /> Land,Agriculture,Rancherre Specialise <br /> 4. Please describe current use(s) of property: <br /> Fel <br /> Direct: (209)491-3408 <br /> fI1mono� TG ✓M/Y1 Q Cellular: (209)380-0950 <br /> J Fax: (209)576-6311 <br /> — E-mail:lgarber@pmz.com•Website:garber.pmz.com <br /> 1120 SCENIC DRIVE•MODESTO,CALIFORNIA 95350 <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> Ijyou have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext.233. <br /> r <br />
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