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SU0004687 SSCRPT
Environmental Health - Public
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SU0004687 SSCRPT
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Last modified
5/7/2020 11:31:06 AM
Creation date
9/8/2019 1:03:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004687
PE
2622
FACILITY_NAME
PA-0400634
STREET_NUMBER
11515
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
APN
10328013
ENTERED_DATE
11/3/2004 12:00:00 AM
SITE_LOCATION
11515 E NORMAN AVE
RECEIVED_DATE
11/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\SSC RPT.PDF
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EHD - Public
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OCT-4.2004 09:26A FROM: •3694228 P:3 <br /> S M **me EN'f.R0 '' .i�g �_� ti.. No 6444 - . <br /> NUA 10B NUMBER E04112A <br /> P£tOPERTY LOCATION: 11255 & 11515 East Norman Avenue, Stockton, California <br /> Page 2 <br /> The Surface/Subsurface Contamination Report Questionnaire <br /> j Thc:Surface/Subsurface Contamination Report (SSSCR) satisfies San Joaquin County requirements for <br /> parcel division and lot lint:adjustments and is Untended to identify any sources of contamination ou the <br /> property from on-or off-site causes. <br /> San Joaquin County requires that the current (and former, in sonic cases) owners of the property be <br /> interviewed regarding any environmental knowledge of the property they may possess_ The attached <br /> two-pan questi�ttna- is designed to supplement the inrervicw requirement of the SSSCR. <br /> ically to thr user's responsibilities, and to additional <br /> Part 1 includes questions which relate specif <br /> information sources which will be useful to us in completing our investigation most efficiently. Please <br /> complete this portion of the questionnaire at your earliest convenience and return it to us promptly. <br /> - <br /> � <br />' Part 2 includes questions to be asked of the current property owner and/or occupants. 1i lease. forward <br /> a copy of this Portion of the quentic�rtnaire to the current owner and request that they complete and <br /> return it as soon as possible. [If you currently own the property and purchased it over six months ago, <br /> please complete 1'att 2 aswell. If you have owned the property for less than six months,please forward <br /> tial <br /> Part 2 to the former owner for completion.] If the property is currently cicvelopdfece rth trittbe <br /> uses, a copy of Pan 2 should also be forwarded to each commercial w <br /> unercial te <br /> ant, aquest <br /> completed and returned. <br /> We thank you for you assistance with this process. <br /> If y&u have any questions about this questionnaire,please contact Abby Racco at(209)367-3701 ext 38 <br /> PAGE:3 <br /> SEP-16-2004 THU 09:30AM ID: <br />
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