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SU0006563 SSCRPT
Environmental Health - Public
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SU0006563 SSCRPT
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Last modified
5/7/2020 11:32:32 AM
Creation date
9/9/2019 10:14:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006563
PE
2622
FACILITY_NAME
PA-0700221
STREET_NUMBER
800
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
APN
14327038
ENTERED_DATE
5/15/2007 12:00:00 AM
SITE_LOCATION
800 N SHAW RD
RECEIVED_DATE
5/15/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SHAW\800\PA-0700221\SU0006563\SSC RPT.PDF
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EHD - Public
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MAR-20-2007 18:04 FROM:STOCKTON TERMINAL 9485092 70:3694228 re+tiln P.5 <br /> e'1V1� 1'3CU1 10, GVV/ VJ.JG Yl7 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NDA Project Number: P07044 <br /> Property Location: 800 N.Shaw Road, Stockton, CA <br /> Page 4 of 11 <br /> _. ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase I Environmental Site Assessment being prepared for the property(or the duty <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information,and belief the information disclosed above is true and correct. <br /> Z-'�7— <br /> r o Client's Signa u e Date <br /> User or Ch is Name(pleasd print) <br /> Title, Company <br /> r <br /> 11you how wi.r gue.srrlim ahaw rhiv queWiorulatrr.i0ei a canna I-hra CheneY ar L'091 367-3701 e'.tt.333. <br />
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