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SU0010272
EnvironmentalHealth
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SU0010272
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Last modified
5/7/2020 11:34:28 AM
Creation date
9/6/2019 10:07:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010272
PE
2632
FACILITY_NAME
PA-1400203
STREET_NUMBER
3800
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
APN
17955007 18
ENTERED_DATE
10/23/2014 12:00:00 AM
SITE_LOCATION
3800 E MARIPOSA RD
RECEIVED_DATE
10/17/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MARIPOSA\3800\PA-1400203\SU0010272\APPL.PDF \MIGRATIONS\M\MARIPOSA\3800\PA-1400203\SU0010272\CDD OK.PDF \MIGRATIONS\M\MARIPOSA\3800\PA-1400203\SU0010272\EH COND.PDF \MIGRATIONS\M\MARIPOSA\3800\PA-1400203\SU0010272\EH PERM.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: SU0010272 <br /> DATE RECEIVED by EHD: October 17,2014 APPL#: PA-1400203 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BV: Wed, November 5, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3800 E MARIPOSA RD, STOCKTON APN : 17955007 18 <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 <br /> SUMMARY OR COMMENT <br /> A-1 GE = A4 Le <br /> • �N.Sf?� ��b� /�L-�/�-�=- �c�C�E/!%l-6 /��-fGiu—S< G<�i7s< i ����� /.t�.1� r,- <br /> �-�li� <br /> A/n it /�/J� fact= LDT�� i.✓ // 1F � c r Gll`«<��77 L>�2 <br /> I recommend: Approval Er Denial Continuance [7] Inspecto . <br /> Supervisor/Lead Senior COMMENTS Signature <br /> 04-: l A) I1-06 <br /> ((;) ll-K <br /> (C) l 1 . 03(U) ZA <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List- Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 23,2014 <br />
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