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SU0005259 SSCRPT
Environmental Health - Public
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SU0005259 SSCRPT
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Last modified
5/7/2020 11:31:35 AM
Creation date
9/6/2019 10:00:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005259
PE
2611
FACILITY_NAME
PA-0500469
STREET_NUMBER
5055
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
APN
15910007, 08, &
ENTERED_DATE
8/2/2005 12:00:00 AM
SITE_LOCATION
5055 E MAIN ST
RECEIVED_DATE
8/1/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\5055\PA-0500469\SU0005259\SSC RPT.PDF
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EHD - Public
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NCA JOB NUMB 'K: P05250 <br /> PROPrRTY LOCATION: Main&Del Mar Ave., Stockton, CA 95204 <br /> Page 4 <br /> ENDORSEMENTS: <br /> PART 1 <br /> As the User of the Surface Subsurface Contamination Report being prepared for the <br /> property (or the duly authorized representative of such User), I have specific knowledge <br /> of the questions posed in PART 1 of this Questionnaire regarding the property, and <br /> hereby certify to and for the benefit of Lender/Purchaser that to the best of my <br /> knowledge, information a�n(d� belief the information disclosed above is true and correct. <br /> a 6 C-d t q-�1' CS 2 <br /> User or Client's name <br /> IqA J4� g -i 9-n r <br /> Signature and date <br /> O "JVAA <br /> Title F <br /> Ijyou have any questions about this questionnaire,please contact Abhv Racco at(209) 367-3701 ext 238 <br />
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