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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
Scanner
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 209 638 8011 F.004/010 <br /> Surface Subsurface Report Questionnaire Page 4 of 10 <br /> De Palma Property <br /> Our Project Number: E071S7A <br /> September 26, 2007 <br /> NEIL O.ANDERSON &ASSOCIATES,INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2:OWNER INFORMATION <br /> (To be completed by Owner or Owner';representative) <br /> I GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: ��t^� INtL � . p <br /> 0"A N/vF— <br /> Address: p p <br /> Telephone: <br /> Year purchased: <br /> 2, Previous owner(s)and contact information (1f known): <br /> Name: GCt,lfi AAZ"Ll <br /> Address: <br /> Telephone: 2001 <br /> Year purchased: <br /> 3. Other person wth historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s)of property: <br /> MLo' <br /> 5. Please describe any other known past use(s)of property,and approximate dates of each use: <br /> p�,-f <br /> r. <br /> 902 lndnst+ial Way•Lodi,CA 95240•209.367.3701 •Pax 209.360 4228 x?XNn N••110..4rdonmi&Aw.u:ma.,lnc. <br /> OCT-02-2007 14:07 91% P.004 <br />
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