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SU0004735 SSCRPT
Environmental Health - Public
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SU0004735 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:31:09 AM
Creation date
9/6/2019 10:52:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004735
PE
2622
FACILITY_NAME
PA-0400727
STREET_NUMBER
17559
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
APN
00909008
ENTERED_DATE
12/10/2004 12:00:00 AM
SITE_LOCATION
17559 E LIBERTY RD
RECEIVED_DATE
12/7/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\17559\PA-0400727\SU0004735\SSC RPT.PDF
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EHD - Public
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NOA JOB NUMBER: E04130A <br /> PROPERTY LOCATION: 17667 East Liberty Road, Galt <br /> Page 4 <br /> ENDORSEMENTS: <br /> 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 /> ` VID N -�y, We �S <br /> User or Client's name <br /> Signature and date <br /> Title <br /> IJyou have any questions about this questionnaire,please contact Rebecca Haskett at(209) 367-3701 <br /> r <br />
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