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SU0005780 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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PA-0500762
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SU0005780 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/8/2019 1:03:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005780
PE
2622
FACILITY_NAME
PA-0500762
STREET_NUMBER
11573
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
ENTERED_DATE
11/21/2005 12:00:00 AM
SITE_LOCATION
11573 E NORMAN AVE
RECEIVED_DATE
11/21/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11573\PA-0500762\SU0005780\SSC RPT.PDF
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EHD - Public
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JAN-2-2002 12:51A FROM: TO:3694228 P:1 <br /> NOA JOB NUMB_W: E05106A <br /> PROPERTY LOCATION- 11573 Norman Avenue, Stockton, Ca1i£ornia <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 /> r � - <br /> User or C nt's name <br /> Signatur and date <br /> Title <br /> vvl q r�a <br /> Ifyou have any quenio»s uhoul this quovionnaire,please contact Nancy Rosulek at(200)367-3701 ext 221 <br />
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