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SU0006563 SSCRPT
Environmental Health - Public
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SU0006563 SSCRPT
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Entry Properties
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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I11AR-20-2007 10:04 FROM:STOCKTON TERMINAL 9465092 TO:3694228 F.6 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: P07044 <br /> Property Location: 800 N. Shaw Road, Stockton, CA <br /> Page 5 of 11 <br /> NEIL O. ANDERSON ft ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: ��S <br /> Address: ��� /V <br /> Telephone: Z o 9 y Lf-co ?� <br /> Year purchased: <br /> 2. Previous owner(s)and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: ®M�' <br /> Telephone.- <br /> Relationship <br /> elephone:Relationship to property: <br /> 4. Please describe current use(s)of property: <br /> 1�e 2509- <br /> 5. Please describe any other known past use(s)of property, and approximate dates of each use: <br /> 11 you have aqr epwojo n ahow ibis quevionnalre.plea ke comet Tina C'benec al(209)367-3701 e,7.233. <br />
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