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SU0004624
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-0400475
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SU0004624
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Entry Properties
Last modified
5/7/2020 11:30:59 AM
Creation date
9/5/2019 10:56:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004624
PE
2622
FACILITY_NAME
PA-0400475
STREET_NUMBER
23607
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20913017
ENTERED_DATE
9/2/2004 12:00:00 AM
SITE_LOCATION
23607 S HANSEN RD
RECEIVED_DATE
8/30/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HANSEN\23607\PA-0400475\SU0004624\APPL.PDF \MIGRATIONS\H\HANSEN\23607\PA-0400475\SU0004624\CDD OK.PDF \MIGRATIONS\H\HANSEN\23607\PA-0400475\SU0004624\EH COND.PDF \MIGRATIONS\H\HANSEN\23607\PA-0400475\SU0004624\EH PERM.PDF
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EHD - Public
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NOTE., PULL ALL`.cRMITS (Septic, Well, etc.) MAKE,-,--`PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004624 <br /> DATE RECEIVED by EHD: August 30,2004 APPL#: PA-04-475 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, September 21, 2004 <br /> Assigned to : EE0001456 HESS <br /> SITE ADDRESS: 23607 S HANSEN RD, TRACY APN : 20913017 <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: A P t-( Public Sewer: / <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> f(}3!1/l.R^Q <br /> 71 <br /> x) 17 - Gz_ <br /> ?.� 2 2 - Qi /l l f /(e -Aj." <br /> I recommend: Approval Et Denial El Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2 0 � ✓ � <br /> a rwe <br /> S.-3 a,4 1 — / 8 <br /> A <br /> F. <br /> Was <br /> SUPERVISOR/ LEAD SENIOR Approval: 0) - Date: ,3 <br /> OA 11 Check Off List: Proofread Report? - Correct LAND USE#?' ^ A...' <br /> Correct CONDITION(S)? - Logged it LAND USE Book?., <br /> FH 06 06 Report#7201 Pace 4 September 02,2004 <br />
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