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SU0006920 SSCRPT
Environmental Health - Public
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SU0006920 SSCRPT
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Last modified
5/7/2020 11:32:48 AM
Creation date
9/8/2019 12:39:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006920
PE
2622
FACILITY_NAME
PA-0700593
STREET_NUMBER
10149
Direction
W
STREET_NAME
PELTIER
STREET_TYPE
RD
City
THORNTON
APN
011 040 02
ENTERED_DATE
1/22/2008 12:00:00 AM
SITE_LOCATION
10149 W PELTIER RD
RECEIVED_DATE
1/22/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PELTIER\10149\PA-0700593\SU0006920\SSC RPT.PDF
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EHD - Public
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Surface&Subsurface Contamination Report Questionnaire <br /> Cotta Property, Peltier&Blossom Roads Page 10 of SO <br /> Our Project Number: LES080021 <br /> March 4, 2008 <br /> ENDORSEMENTS: <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of the <br /> property (or the duly authorized representative of such owner), I am familiar with all of the operations <br /> presently conducted on the property, and hereby certify that to the best of my knowledge, information, <br /> and belief the information disclosed above is�true <br /> -and correct. <br /> 0— (/cr%/!�v 3— rt — o CP 4 <br /> w er or Key Site Manager's Egrature Date <br /> Owner or Key Site Manager's Name (please print) <br /> Co 74.�W- <br /> Title, Company <br /> / .2 <br /> /,At <br /> 902 Industrial Way•Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02008 Neil O.Anderson&Associates,Inc. <br />
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