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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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10/27/2005 THU 08:59 FAX 0002/002 <br /> r � J <br /> NOA JOB NLMU-R P05_250 <br /> EIQF—FRTY LQCAUON',Mmt, &Del Mar.Ave.,Scocldon, CA 95204 <br /> Page 5 <br /> NOA ENVIRONMENTAL <br /> ENVIRONMENTAL, QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representadve) <br /> L GENERAL INFORMATION <br /> — �- Current owner of property and contact information: year purchased: <br /> �t A 67 T- T. VAX T-1 - Y 9 9 3 <br /> //63-& Fg / <br /> 2. Previous owner(s) and contact information (if available): years owned: <br /> 3 Please describe current use(s) of property: I <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use:r �pw� ^q IdLrf ucU <br /> 5. Are there any businesses using any portion of the property C1 Yes ' No <br /> which are operated by an entity other than the property <br /> owner(including a tenant farming operation)? <br /> If yes, please provide a contact name and phone number for <br /> each,- <br /> � vA <br /> 6. What is the current toning and/or general//plan designation of the subject property? <br /> Cs'rd IOtiy GI.C� J't � r , <br /> 11you have any questions about this q�tionnairs,pfease contact Abby,gacca'at(209)367-3701 xt 238 <br /> f n w <br /> [ <br /> r <br />
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