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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 /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes F-1 No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? F] Yes F] No Is well properly sealed and constructed? E] Yes E] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? [—] Yes F-1 No Is Public Water System Permit current ? E] Yes No <br /> Does existing or proposed use make this a Public Water System? F-1 Yes F-1 No <br /> Is water/well sampling current? F� Yes No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-1 Yes F-] No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 June 06,2019 <br />
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