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SU0011818
EnvironmentalHealth
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2600 - Land Use Program
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SU0011818
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Last modified
5/7/2020 11:35:28 AM
Creation date
9/4/2019 9:58:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011818
PE
2656
FACILITY_NAME
PA-0900094
STREET_NUMBER
18921
Direction
N
STREET_NAME
ATKINS
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
01914040
ENTERED_DATE
6/13/2018 12:00:00 AM
SITE_LOCATION
18921 N ATKINS RD
RECEIVED_DATE
6/13/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\A\ATKINS\18921\PA-0900094\SU0011818\APPL.PDF \MIGRATIONS\A\ATKINS\18921\PA-0900094\SU0011818\CDD OK.PDF \MIGRATIONS\A\ATKINS\18921\PA-0900094\SU0011818\EHD COND.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011818 <br /> DATE RECEIVED by EHD: June 13,2018 APPL#: PA-0900094 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONSTOACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Fri, June 22, 2018 R'o'vl5rt1 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 18921 N ATKINS RD, LODI APN: 01914040 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor �� i _ Narq of y to ��\ <br /> SUMMARY M T ( ( G('[Lly'�t'� C [71 <br /> (JYVI <br /> &tvdh toy- im ex a SO gv <br /> �aY filer, to ke✓ <br /> I recommend: Approval ialEl <br /> Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: . <br /> 1 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II h k ff ist., Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 14,2018 <br />
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