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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 10:06 FROM:STOCKTON TERMINAL 9485092 70:3694228 _ P.12 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: P07044 <br /> Property Location: 800 N. Shaw Road, Stockton, CA <br /> Page 11 of 11 <br /> formulated, rinsed, or disposed of on the property? if so, please <br /> describe the locations where such pesticides, herbicides or chemicals <br /> were mixed. formulated, rinsed, or disposed,and the type of <br /> pesticides, herbicides or chemicals mixed,formulated, rinsed or <br /> disposed of at each location. <br /> 3. Has any soil or groundwater analysis been performed to detect ❑Yes E940 <br /> pesticides, herbicides or chemicals used at the site? if so, please <br /> provide a summary of the findings or attach the report(s). <br /> ENDORSEMENTS: <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of the <br /> property(or the duly author17ed representative of such o,"er), t am familiar with all of the operations <br /> presently conducted on 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 /> Owner or Key Site Manager's Signature ate <br /> Owner or Key Site Manager's Name(please print) <br /> Title, Compan <br /> U ynu hate anY que.viorn above chis quevionn ince.pleaw comacr'Thea C'hrrre-v re(20)367-3701 err.333. <br />
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