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SU0012132
EnvironmentalHealth
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2600 - Land Use Program
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PA-1700039
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SU0012132
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Entry Properties
Last modified
11/20/2024 9:09:40 AM
Creation date
9/4/2019 6:46:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012132
PE
2631
FACILITY_NAME
PA-1700039
STREET_NUMBER
6701
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215-
APN
10306013
ENTERED_DATE
12/28/2018 12:00:00 AM
SITE_LOCATION
6701 E HWY 4
RECEIVED_DATE
12/28/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\6701\PA-1700039\SU0012132\APPL.PDF \MIGRATIONS\F\HWY 4\6701\PA-1700039\SU0012132\CDD OK.PDF \MIGRATIONS\F\HWY 4\6701\PA-1700039\SU0012132\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: SU0012132 <br /> DATE RECEIVED by EtfD: December 28,2018 APPL#: PA-1700039 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2631 <br /> SITJE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Fri, January 18, 2019 nm tq "`ton <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 6701 E HWY 4 , STOCKTON tv" APN : 10306013 <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: VPublic Sewer: /" 07"-k <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /U/o S,S/N�s I, P .� 4 ti L�� QWC t.� �ss s . <br /> go A 1 -e2 rr— C u err <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A ll h k fft.ist, Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 811 06 06 Report^7201 December 28,2018 <br />
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