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SU0006907 SSCRPT
Environmental Health - Public
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SU0006907 SSCRPT
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Last modified
5/7/2020 11:32:47 AM
Creation date
9/9/2019 10:48:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006907
PE
2622
FACILITY_NAME
PA-0700587
STREET_NUMBER
5525
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
01116020
ENTERED_DATE
12/26/2007 12:00:00 AM
SITE_LOCATION
5525 W TURNER RD
RECEIVED_DATE
12/24/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TURNER\5525\PA-0700587\SU0006907\SSC RPT.PDF
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EHD - Public
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Surface Subsurface Report Questionnaire <br /> Project Name <br /> Our Project Number; XXXXXX Page to of 10 <br /> May 31, 2007 <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 authorized representative of such owner), 1 am familiar with all of the operations <br /> Presently conducted on the property, and hereby certify that to the best of my knowledge, information, <br /> and belief the information disclosed above is true and correct. <br /> — j <br /> i � <br /> Owner or Key Site a 's e ` O <br /> to <br /> Owner or Key Site Manager's Narr7 (please print) <br /> Title, company <br /> 03v. <br /> Indo>trizrl Wx; • Lodi..CA 95240• 209.367.3701 Fax 209,369.4228 <br /> "'007 rb'ei/0.Jnttersar&Assneiale.r./nc <br />
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