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SU0011093
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-1600240
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SU0011093
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Entry Properties
Last modified
5/7/2020 11:34:57 AM
Creation date
9/5/2019 11:18:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011093
PE
2631
FACILITY_NAME
PA-1600240
STREET_NUMBER
20500
Direction
S
STREET_NAME
HOLLY
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
21216010
ENTERED_DATE
10/14/2016 12:00:00 AM
SITE_LOCATION
20500 S HOLLY RD
RECEIVED_DATE
10/13/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HOLLY\20500\PA-1600240\SU0011093\EHD COND.PDF \MIGRATIONS\H\HOLLY\20500\PA-1600240\SU0011093\APPLICATION .PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011093 <br /> DATE RECEIVED by EHD: October 13,2016 APPL H: PA-1600240 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, October 26, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 20500 S HOLLY RD, TRACY APN : 21216010 <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 A <br /> SUMMARY OR COMMENTS: 4e)1-Z_� �6 <br /> 7 <br /> ,/,O;L 5771/YH�'T/NiDti'N� y � QLSa� i�1 M <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> fA-) <br /> Ag) 11:.07 I Rhe- Tn IssuA /Ls a-E EUa,m4 P* { - <br /> $d 11,03 (A) <br /> C) Zzd I <br /> z2=off <br /> oNN S Y ?" <br /> EA <br /> 49 <br /> 1 � <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Li Proofread Report? Correct LAND USI,k'? <br /> Correct CONDITION(S)? Logged in LAND USE Hook? <br /> EH 06 06 Report 47201 October 14,2016 <br />
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