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SU0008061
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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2600 - Land Use Program
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PA-0900310
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SU0008061
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Entry Properties
Last modified
12/12/2019 11:22:30 AM
Creation date
9/4/2019 6:09:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008061
PE
2622
FACILITY_NAME
PA-0900310
STREET_NUMBER
2828
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
FARMINGTON
APN
18718009
ENTERED_DATE
1/19/2010 12:00:00 AM
SITE_LOCATION
2828 S ESCALON BELLOTA RD
RECEIVED_DATE
1/15/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\2828\PA-0900310\SU0008061\SURV MEMO.PDF
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EHD - Public
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NOTE: PULL ALLIMITS (Septic, Well, etc.} MAKEI IES FOR FILE <br /> LANID USE RE-PORT RECORD ID: SU0008061 <br /> DATE RECEIVED by EHD: January l5,2010 AT'PL#: pa-0900310 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE ; 2622 <br /> SIJBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, February 2, 2010 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2828 S ESCALON-BELLOTA RD, FARMINGTON APN : 18718009 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> 3upplieS, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> Jensily, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> 3U)1IA7ARY OR COMMENTS: <br /> � �.�.�.1Ofij'�T.S'y/�i� L✓G 4 <br /> 3 ' <br /> o <br /> I recommend: ApprovalDenial ContinuanceEl <br /> Inspecto <br /> Signature <br /> ju ervisor/Lead Senior COMMENTS: <br /> 47Vic: 7 <br /> .-tom P n� <br /> - C :C' IL <br /> SUPERVISOR/LEAD SENIOR Approval: 47 <br /> Date: <br /> Proofread Report? a 7 <br /> OA!1(,.heck Off List � P +correct LAND Ll�`L# . <br /> ,; c erect CgNDITIpN(S)? Logged in LAND[JSE Eiook? <br /> Eli 06 06 Report#7201 January 19,2010 <br />
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