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SU0005331 SSCRPT
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SU0005331 SSCRPT
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Last modified
5/7/2020 11:31:37 AM
Creation date
9/6/2019 10:01:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005331
PE
2611
FACILITY_NAME
PA-0500543
STREET_NUMBER
5113
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
15910004 & 06
ENTERED_DATE
8/24/2005 12:00:00 AM
SITE_LOCATION
5113 E MAIN ST
RECEIVED_DATE
8/23/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\5113\PA-0500543\SU0005331\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E05150A <br /> Property Location: 5113 ft 5153 E. Main Street, Stockton, CA 95215 <br /> Page 4 <br /> V <br /> r, 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 information disclosed above is true and correct. <br /> ilm <br /> 'User or' Bent's Signa�Qtjure ate <br /> User or Client's Name (please print) <br /> 1 �C�GS�V�ij <br /> Title, mpany <br /> l <br /> L <br /> L If you have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext. 238. <br /> Y <br />
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