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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 14:53 A.D.P. DEPALMA FARMS, INC 209 636 9011 P.010i010 <br /> Surface Subsurface Report Questionnaire Page 10 of 10 <br /> an De Palma Property <br /> Our Project Number: E07157A <br /> September 26,2007 <br /> ENDORSEMENTS: <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of the <br /> property(or the duly authorized representative of such owner),I am familiar with all of the operations <br /> presently conducted on the prop ,and hereby certify that to the best of my knowledge, information, <br /> and belief the Information d6Clo above ' tr and correct. <br /> Owner or Key Site Manager's Signature �z� <br /> --bo <br /> tM l <br /> ti i c `.'� wi lA _ <br /> Owner or Key Site Mana}er's Name(please print) <br /> �W 1� <br /> Title, Company <br /> r <br /> r <br /> _ 902 Ind=ial Way•LnAi,CA 95240-209367,3701 •Fax 209.369.4228 +207N,11 0, 4.A^44&A.eexiall,".7-1. <br /> OCT-02-2007 14:10 91% P.010 <br /> TOTAL P.010 <br /> V <br />
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