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SU0004612 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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SU0004612 SSCRPT
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Last modified
5/7/2020 11:30:58 AM
Creation date
9/6/2019 10:32:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004612
PE
2611
FACILITY_NAME
PA-0400251
STREET_NUMBER
9422
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
952209616
APN
00734009
ENTERED_DATE
8/23/2004 12:00:00 AM
SITE_LOCATION
9422 E JAHANT RD
RECEIVED_DATE
8/20/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JAHANT\9422\PA-0400251\SU0004612\SSC RPT.PDF
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EHD - Public
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6. 1.� NNW <br /> NOA JOB NUMBER: E04056 <br /> L PROPERTY LOCATION: 9422 E.Jahant Road, Acampo <br /> Page 4 <br /> �. ENDORSEMENTS: <br /> r 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 <br /> ` knowledge of the questions posed in PART 1 of this Questionnaire regarding the <br /> property, and hereby certify to and for the benefit of Lender/Purchaser that to the best <br /> of my knowledge, information and belief the information disclosed above is true and <br /> correct. <br /> ST C2.t4 1 �r��{i' <br /> User or Client's n me <br /> 6. 1 <br /> c�� to-off <br /> a ure and cl / <br /> dLAD <br /> r <br /> Title <br /> L <br /> L <br /> t <br /> I <br /> r <br /> L <br /> L <br /> L <br /> L <br /> L <br /> LIf you have any questions about this questionnaire,please contact Chip Walker at(209)367-3701 <br /> L <br />
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