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SU0004653
EnvironmentalHealth
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2600 - Land Use Program
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PA-0300048
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SU0004653
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Entry Properties
Last modified
5/7/2020 11:31:03 AM
Creation date
9/4/2019 6:06:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004653
PE
2690
FACILITY_NAME
PA-0300048
STREET_NUMBER
25992
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00722011
ENTERED_DATE
10/8/2004 12:00:00 AM
SITE_LOCATION
25992 N ELLIOTT RD
RECEIVED_DATE
10/4/2004 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELLIOTT\25992\PA-0300048\SU0004653\APPL.PDF \MIGRATIONS\E\ELLIOTT\25992\PA-0300048\SU0004653\CDD OK.PDF \MIGRATIONS\E\ELLIOTT\25992\PA-0300048\SU0004653\EH COND.PDF \MIGRATIONS\E\ELLIOTT\25992\PA-0300048\SU0004653\SURV MEMO.PDF
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EHD - Public
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1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No 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: Yes No <br /> State deficiency: <br /> Is well system a Public Water system? Yes No Is the permit current? Yes No <br /> Does existing or proposed use make this well Public Water: Yes No Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY MOS UITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> E13 06 QP Rev 1199 ' <br />
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