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SU0008815
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1100114
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SU0008815
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Entry Properties
Last modified
5/7/2020 11:33:41 AM
Creation date
9/4/2019 6:39:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008815
PE
2622
FACILITY_NAME
PA-1100114
STREET_NUMBER
23557
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
APN
22813022
ENTERED_DATE
7/11/2011 12:00:00 AM
SITE_LOCATION
23557 S FREDERICK AVE
RECEIVED_DATE
7/8/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\23557\PA-1100114\SU0008815\APPL.PDF \MIGRATIONS\F\FREDERICK\23557\PA-1100114\SU0008815\CDD OK.PDF \MIGRATIONS\F\FREDERICK\23557\PA-1100114\SU0008815\EH COND.PDF \MIGRATIONS\F\FREDERICK\23557\PA-1100114\SU0008815\SURV MEMO.PDF
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EHD - Public
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----------------------- <br /> ' NOTE: PULL-ALL-PERMITS (Septic, Well, etc.) MAKE }COPIES FOR FILE <br /> F LAND USE REPORT <br /> _ RECORD ID: SU0008815 <br /> DATE RECEIVED by ERD: July 08,2011 <br /> APPL#: PA-1100114 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN <br /> PE : 2622 <br /> COMPLETE & SUBMIT BY: 9 2,2011 <br /> -MINOR(MS) <br /> Tue August 2 '2011 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23557 S FREDERICK AVE, RIPON <br /> APN: 22813022 <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 .. Name of System <br /> SUMMARY OR COMMENTS- <br /> -7 <br /> e. <br /> 6010 1 <br /> 22�0 7- <br /> � 5ti1� <br /> :rt <br /> 1 recommend: Approval Denial Continuance Inspect <br /> Supervisor/Lead Senior COMMENTS: Si <br /> 2�G 2 ; <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval / <br /> Date <br /> OA i!Check Off Lrst � �� Proofxead 1te ort � � <br /> ,y�..,�' <br /> N1,t��; <br /> ,- __ M:...,: ^s ..° .-r b. s ;�r, a 1p c-et, `�`'r Logglr`d u1: ..ANI ' ?y#E °f•"` .� ; y-. g ,-�4*:,� �s <br /> E14 06 06 Report#7201 <br /> July 11,2011 <br />
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