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SU0006529 SSCRPT
Environmental Health - Public
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SU0006529 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:32:29 AM
Creation date
9/5/2019 10:46:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006529
PE
2611
FACILITY_NAME
PA-0700093
STREET_NUMBER
19530
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
APN
20907023
ENTERED_DATE
4/18/2007 12:00:00 AM
SITE_LOCATION
19530 W GRANT LINE RD
RECEIVED_DATE
4/18/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\19530\PA-0700093\SU0006529\SSC RPT.PDF
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EHD - Public
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JUN-28-2005 TUE 01 :38 PM GARY FRUSH FAX H0, 209 474 1303 P. 02 <br /> 05/27/2005 14:12 20C '77-815 hl7 fC�pEEI<b p��',� 03 <br /> P.O, BOX 576981 <br /> M.J. Kioberdanz & Associates Modesto, California 95357-6931 <br /> Envirel>r nicutal. Services Phone; (209) 577.8186 <br /> Fax: (209) 577-8158 <br /> Records Access Release <br /> To Whom U.May Corscern: <br /> .T. (We),f' i INFN���,} the owner(s) of the property Iacated at <br /> give permission to M.J, Klobmld i'z & Associates, to access this property as welt as <br /> ptt iic records re)ated to the px pperty <br /> Signature <br /> riQtt NutuC of Sigtintrxrc <br /> Phoue Number of Deed H61dert #0017Z 7,4'y (daytime) 6/d <br /> TMODORE P. CHAVEZ <br /> Anoaoey at Law <br /> Inntructions: 210 N.Raab St..Ste.201 <br /> So Jomk CA.95112 <br /> The name of the+ owner must be the samo name that appears on the Assessor's R00'Ora as the bees <br /> Holder. If a company or corporation name has been used on the Deed then that name must be used <br /> above as the owner's name. "MO Carporstion or company letterhead should be used to photocopy <br /> this form before completing. Some County Aoaessor's require an orlgI W- lonature {no photocopy <br /> or fax). This form should he malted to M-J,Kioberdam 8,Assoorates with a slgnature Man ink color <br /> other than black . <br /> Aa avallalbla, and If pertinent, topless of the following roust be provided to M,.I, KJoherdenz & <br /> Assoetatas by the property owner prior to job start: <br /> + Any previously Generated Appraisal or Environmental Assessment Reporte <br /> • Slte Contact Marna <br /> • <br /> Site Contact Telephone Nuenber <br /> • List of prior bwnern 4t the property, with the years they owned the property, and currant <br /> phone numbers, <br /> + Authorization•to view Assessor racords of any larger parcel that the site may have been "sp1It" <br /> From, <br /> • Copy of bual extx Plan for storage of chamlcais filed with the County Environmental Health <br /> Aupartment <br /> • Any other records that tNL-owner may halve that wO414 be Mful during this study that may be <br /> avallabin <br />
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