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SU0005028 SSCRPT
Environmental Health - Public
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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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\� V <br /> NOA JOB NUMBER: Eo�oZ`I H <br /> PROPERTY LOCATION: 11040 East Mariposa Road, Stockton <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 representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property and contact information: year purchased:4 <br /> 2. Previous owner(s) and contact information (if available): years owned: <br /> 3. Please describe current use(s) of property: Pa 6 f v v a /TOh� Lo- <br /> 4. Please describe any other known past use(s) of property, Ch,(!-A ('rt S <br /> and approximate dates of each use: <br /> — <br /> 5. Are there any businesses using any portion of the property Q Yes Clio <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 /> .- 6. What is the current zoning and/or general plan designation of the subject property? <br /> Ijyou have any questions about this questionnaire,please contact Abby Rocco at(209) 367-3701 ext 38 <br /> r <br />
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