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SU0006957 SSCRPT
Environmental Health - Public
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SU0006957 SSCRPT
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Last modified
5/7/2020 11:32:49 AM
Creation date
9/6/2019 10:40:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006957
PE
2622
FACILITY_NAME
PA-0800028
STREET_NUMBER
6686
Direction
W
STREET_NAME
KILE
STREET_TYPE
RD
City
LODI
APN
01112002
ENTERED_DATE
2/7/2008 12:00:00 AM
SITE_LOCATION
6686 W KILE RD
RECEIVED_DATE
2/6/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KILE\6686\PA-0800028\SU0006957\SSC RPT.PDF
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EHD - Public
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Surface &Subsurface Contamination Report Questionnaire <br /> Den Hartog Property Page 3 of 10 <br /> Our Project Number: LES080521 <br /> April 25, 2008 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Surface and Subsurface Contamination Report being prepared for the property (or the <br /> duly authorized representative of such User), I have specific knowledge of the questions posed in Part 1 <br /> of this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclose v is true and correct. <br /> User or Client's Signature J Date <br /> -"e <br /> 7 /- t?4W //s /i VV& <br /> User or Client's Name (please print) <br /> ZZ- <br /> Title, Company <br /> 902 Industrial Way• Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02008 Neil 0.Anderson&Associates,Inc. <br />
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