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SU0003891 SSCRPT
Environmental Health - Public
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SU0003891 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:15 AM
Creation date
9/8/2019 1:03:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003891
PE
2622
FACILITY_NAME
PA-0300389
STREET_NUMBER
11931
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
APN
10328024
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
11931 E NORMAN AVE
RECEIVED_DATE
8/6/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11931\PA-0300389\SU0003891\SSC RPT.PDF
Tags
EHD - Public
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LW-19- '-0:57A FROM: 70:12093694228 P:11 <br /> NOA ENVIRONMENTAL JOB NUMBER: LE03-201 <br /> PROPERTY LOCATION 11931 East Norman Avenue, Stockton, CA <br /> ENDORSEMENTS: <br /> PART x <br /> As the User of the Phase 1 Environmental Assessment beim prepared for the property (or the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in PART <br /> I of this Questionnaire regarding the property, and hereby certify to and for the benefit of <br /> Lender/Purchaser that to the best of my knowledge,information and beliefthe information disclosed <br /> above is true and correct <br /> User or Che is nam <br /> �0 3 <br /> ignature and ate <br /> ,�Nw rQ <br /> Title <br /> PART 2 <br /> As the present owner of the property or as an officer or general partner ofthe present owner ofthc <br /> property(or the duly authorized representative of such owner),l am familiar with all of the operati ons <br /> presently conducted on the property, and hereby certify to and for the benefit of Lender/Purchaser <br /> that to the best ofmy knowledge, information.and belief the information disclosed above is true and <br /> correct. <br /> &.,,=A-,:�,� J hof ... <br /> Owner's or Key ite Manager's name <br /> Signature and date - <br /> Title <br /> Vow ha>>r ani yuesitun.r ulluuf liiis yuesliunnorre,,rle�aser eoniact Grit fOwley al (209)367-,1701 1202 <br />
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