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SU0012361
EnvironmentalHealth
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2600 - Land Use Program
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PA-1700039
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SU0012361
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Last modified
11/20/2024 9:09:40 AM
Creation date
9/4/2019 6:46:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012361
PE
2631
FACILITY_NAME
PA-1700039
STREET_NUMBER
6701
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215-
APN
10306013
ENTERED_DATE
6/6/2019 12:00:00 AM
SITE_LOCATION
6701 E HWY 4
RECEIVED_DATE
5/28/2019 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\SU0012361\APPL.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: SU0012361 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1700039 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009825 AFONSICAIA <br /> SITE ADDRESS: 6701 E HWY 4 , STOCKTON 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: No Vle. Public Sewer: Avo yLe <br /> Name of urveyorName of System �J <br /> SUMMARY OR COMMENTS: ire/1✓ Yl 6 / 13/ <br /> 13 �(/ Q 3 00 <br /> K �r�` u!(e- g [2- (tl g 4 o- 60 e <br /> X(A'-oY1= 4+k'LoU.i-e— r W PinC ooh �t <br /> r a-ye— L OIC S !:�-G O ' 40 Ne o i� r 0 C SSS . <br /> I recommend: Approval F-1 Denial 1-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> zj <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II heck Off List: Proofread Report? Correct LAND USE#`? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 06,2019 <br />
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