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SU0004787 SSCRPT
Environmental Health - Public
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SU0004787 SSCRPT
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Last modified
5/7/2020 11:31:13 AM
Creation date
9/6/2019 11:10:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004787
PE
2611
FACILITY_NAME
PA-0400074
STREET_NUMBER
26850
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
GALT
APN
00503007
ENTERED_DATE
1/20/2005 12:00:00 AM
SITE_LOCATION
26850 N LOWER SACRAMENTO RD
RECEIVED_DATE
3/4/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\26850\PA-0400074\SU0004787\SSC RPT.PDF
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EHD - Public
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Fj n n <br /> P.O.Box 576981 <br /> M.J. KJoberdanz & Associates Modesto,California 95357-6981 <br /> Environmental Services Phone: (209)577-8186 <br /> Fax:(2092 577-8158 <br /> Records Access Release <br /> F41 To Whom It May Concern: <br /> Ft I (We), t,k Dc 2rck q lid 6A,& the owner(s) of the property located at <br /> f <br /> J/P Sa&A.rw .APN # 00- �- <br /> give permission to M.J. Kloberdanz & Associates, to access this property as well as <br /> public records related to the property <br /> IF <br /> Signature <br /> F1 Fre.de rrc K &w- de <br /> 1 Print Name of Signature <br /> Phone Number of Deed Holder: 0 q-7W-L%�a.y time) <br /> F1 ,207- -7yy-17bz <br /> Instructions: <br /> F1 The name of the owner must be the same name that appears an the Assessor's Record as the Deed <br /> Holder. If a company or corporation name has been used on the Deed then that name must be used <br /> above as the owner's name. The Corporation or company letterhead should be used to photocopy <br /> P this form before completing. Some County Assessor's require an original signature(no photocopy <br /> or fax). This form should be mailed to M.J.Kloberclanz&Associates with a signature In an ink color <br /> other than black. <br /> F11 <br /> As available, and If pertinent, copies of the following must be provided to M.J. Kloberdanz & <br /> - Associates by the property owner prior to Job start: <br /> * Any previously Generated Appraisal or Environmental Assessment Reports <br /> • Site Contact Name <br /> * Site Contact Telephone Number <br /> * List of prior owners of the property,with the years they owned the property,and current phone <br /> numbers, <br /> fl li • Authorization to view Assessor records of any larger parcel that the site may have been"split" <br /> from, <br /> • Copy of Business Plan for storage of chemicals filed with the County Environmental Health <br /> Department <br /> • Any other records that the owner may have that would be useful during this study that may be <br /> available <br /> P <br /> F1 <br /> �I <br />
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