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SU0012919
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CLEMENTS
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19977
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2600 - Land Use Program
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SU-92-8
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SU0012919
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Entry Properties
Last modified
1/15/2020 4:26:29 PM
Creation date
9/4/2019 11:19:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012919
PE
2611
FACILITY_NAME
SU-92-8
STREET_NUMBER
19977
Direction
N
STREET_NAME
CLEMENTS
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
01919009
ENTERED_DATE
1/15/2020 12:00:00 AM
SITE_LOCATION
19977 N CLEMENTS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\C\CLEMENTS\19977\SU-92-8\CORRESPOND.PDF
Tags
EHD - Public
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1, UWAG . <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existingseptic P system complywith Ord.. #549 • <br /> Yes <br /> No— <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2. WATER SUPPLY <br /> Is water supplied- by private well : Yes ' No Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use rake this well public hater: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other Proposed disposal method: <br /> Potential Problem: <br /> 4 . ELI, MOSQUIT-O .OR YEQTQR^PQ*rENTT AL a <br /> State Possible vector Potential & necessary control : � <br /> I <br /> I' <br /> 5 . n FACTUTES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6 . r] Q ON—HISTORY <br /> 7 . TIOIJ <br /> - . <br /> State any problems not previously rioted: , <br /> i' <br /> 8 . O ^T v ; <br /> Appx. No. People per f3q. mi .--- <br /> -�-- <br /> r <br />
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