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SU0006822 SSCRPT
Environmental Health - Public
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SU0006822 SSCRPT
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Last modified
5/7/2020 11:32:44 AM
Creation date
9/5/2019 11:02:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006822
PE
2622
FACILITY_NAME
PA-0700506
STREET_NUMBER
18406
Direction
S
STREET_NAME
HAZELHURST
STREET_TYPE
RD
City
ESCALON
APN
24508007
ENTERED_DATE
11/7/2007 12:00:00 AM
SITE_LOCATION
18406 S HAZELHURST RD
RECEIVED_DATE
11/6/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAZELHURST\18406\PA-0700506\SU0006822\SSC RPT.PDF
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EHD - Public
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OCT-02-2007 14:51 A.D.P. DEPALMA FARMS, INC 209 838 8011 P.003/010 <br /> Surface Subsurface Report Questionnaire Page 3 of 10 <br /> Oe palma Property <br /> our project Number: E07157A <br /> September 26,2007 <br /> F <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase I Environmental Site Assessment being prepared for the property(or the duly <br /> authorized representative of such User), I 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 /> information, and belief the Informati9p disclosed above is true and correct. <br /> 0" <br /> 4Usr AClients Signature j Date <br /> �t)tMlN�G tr �i4.! ^A _ <br /> User or Cllenfs Name(please print) <br /> - <br /> Title, Company <br /> r <br /> 9021r+dasl:ial Way•Lodi,CA 952m•209.367.3701•I'm 109.369.4225 �C•N107 Veli 0.Aedel".&excnciata v,/-1. <br /> OCT-02-2007 14:07 91i 11,003 <br />
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