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SU0005796 SSCRPT
Environmental Health - Public
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SU0005796 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/5/2019 10:42:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005796
PE
2622
FACILITY_NAME
PA-0500779
STREET_NUMBER
11300
Direction
N
STREET_NAME
GOLFVIEW
STREET_TYPE
RD
City
LODI
APN
05920006
ENTERED_DATE
11/30/2005 12:00:00 AM
SITE_LOCATION
11300 N GOLFVIEW RD
RECEIVED_DATE
11/29/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GOLFVIEW\11300\PA-0500779\SU0005796\SSC RPT.PDF
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EHD - Public
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NOA JOB NUMBER: E05133A <br /> r PROPERTY LOCATION: 11330 N. Golfview Rd.,Lodi, CA 95240 <br /> Page 5 <br /> NOA ENVIRONMENTAL <br /> ENVIRONMENTAL 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 and contact information: year purchased: <br /> 2. Previous owner(s) and contact information (if available): years owned: <br /> .CRB/}.Pc s7°,9D��o.ci - i9.7P - i9G3 9.5 j/cN.e.:i <br /> — 3. Please describe current use(s) of property: <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use: - <br /> v:a.�y;aeo <br /> /,.3i9iPE ,e-,VVPyr, 7 <br /> — <br /> 5. Are there any businesses using any portion of the property 0 Yes 2 No <br /> which are operated by an entity other than the property <br /> owner (including a tenant farming operation)? <br /> If yes, please provide a contact name and phone number for <br /> each: <br /> _ 6. What is the current zoning and/or general plan designation of the subject property? <br /> r <br /> Ifyou have any questions about this questionnaire,please contact Abby Racco at(209) 367-3701 ext 238 <br /> Ir <br /> L <br />
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