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SU0005992 SSCRPT
Environmental Health - Public
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SU0005992 SSCRPT
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Last modified
12/13/2019 11:08:27 AM
Creation date
9/6/2019 10:23:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005992
PE
2622
FACILITY_NAME
PA-0600182
STREET_NUMBER
14101
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06325027
ENTERED_DATE
4/12/2006 12:00:00 AM
SITE_LOCATION
14101 N JACK TONE RD
RECEIVED_DATE
4/11/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\14101\PA-0600182\SU0005992\SSC RPT.PDF
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EHD - Public
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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: <br /> Property Location: 13737 N. Jack Tone Rd., Lodi, CA <br /> Page 3 <br /> r <br /> NEIL O. ANDERSON It ASSOCIATES, INC. <br /> r ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 1: USER'S RESPONSIBILITIES <br /> (To be completed by Client) <br /> 1. Have any title reports or previous environmental reports been prepared ❑ Yes No <br /> for the property? (Please provide copies of any available reports.) / \ <br /> 2. Describe the proposed parcel division or lot line adjustment, and the <br /> proposed future use of each new parcel. (Attach tentative map if <br /> ` <br /> available.) pa-4,-C'EA 15P <br /> VSW -'or- home-51fi . R�ma�cRo.�~F'mra� �wr�ses <br /> 3. Are you aware of any environmental liens or land use limitations ❑ Yes �,No <br /> recorded against the property? If so, please explain: <br /> r <br /> 4. Do you have any specialized knowledge or experience relating to ❑ Yes r No <br /> it. environmental conditions on the property which may be helpful to us? If <br /> so, please explain: <br /> W. 5. Is the purchase price significantly lower than that of comparable ❑ Yes No <br /> properties in the area? If so please explain: <br /> r 6. Is there an additional purpose for the completion of this SSCR, beyond <br /> satisfying San Joaquin County requirements for parcel division or lot line <br /> adjustment? If so, please explain: <br /> n uhe� <br /> bin 7. What is the proposed future use of the property? (Please provide o site map if available.) <br /> Se e tAe,15;ka, 4,2 <br /> v <br /> lfyou have any questions about this questionnaire,please contact Abby Racco at(209)367-3701 ext.138. <br /> '404 fr <br />
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