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SU0005028 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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PA-0500252
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SU0005028 SSCRPT
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Last modified
5/7/2020 11:31:25 AM
Creation date
9/6/2019 10:06:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005028
PE
2622
FACILITY_NAME
PA-0500252
STREET_NUMBER
11040
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18106015
ENTERED_DATE
5/9/2005 12:00:00 AM
SITE_LOCATION
11040 E MARIPOSA RD
RECEIVED_DATE
5/3/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MARIPOSA\11040\PA-0500252\SU0005028\SSC RPT.PDF
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EHD - Public
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NOA JOB NUMBER: COS-0--)-9A <br /> PROPERTY LOCATION: 11040 East Mariposa Road, Stockton <br /> Page 4 <br /> ENDORSEMENTS: <br /> ti 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 and belief the information disclosed above is true and correct. <br /> User or Client's name <br /> a <br /> Signature and clatiV <br /> _ W <br /> Title <br /> r <br /> lfyou have any questions about this questionnaire,please contact Abby Racco at(209) 367-3701 ext 38 <br /> L <br /> 6. <br />
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