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SU0007492 SSCRPT
Environmental Health - Public
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SU0007492 SSCRPT
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Last modified
5/7/2020 11:33:06 AM
Creation date
9/5/2019 10:58:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007492
PE
2622
FACILITY_NAME
PA-0800354
STREET_NUMBER
10940
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06318002
ENTERED_DATE
12/1/2008 12:00:00 AM
SITE_LOCATION
10940 E HARNEY LN
RECEIVED_DATE
11/26/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARNEY\10940\PA-0800354\SU0007492\SSC RPT.PDF
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EHD - Public
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Surface &Subsurface Contamination Report Questionnaire <br /> Thelma E. Hieb Revocable Trust Property Page 3 of 10 <br /> Our Project Number: E07202A <br /> December 5, 2007 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Surface and Subsurface Contamination Report being prepared for the property (or the <br /> duly authorized representative of such User), I have specific knowledge of the questions posed in Part 1 <br /> of this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> User 6r Client's Signature Date <br /> 4661 _ 6�, <br /> User or Client's Name (please print) <br /> Title, Company <br /> d <br /> 902 Industrial Way•Lodi,CA 95240.209.367.3701 •Fax 209.369.4228 ©2007 Neil 0.Anderson&Associates,Inc. <br />
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