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SU0011925
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MOUNTAIN HOUSE
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2600 - Land Use Program
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PA-0500838
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SU0011925
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Entry Properties
Last modified
11/9/2022 11:55:37 AM
Creation date
9/6/2019 10:17:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011925
PE
2656
FACILITY_NAME
PA-0500838
STREET_NUMBER
22261
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391-
APN
20906065, -66, -67
ENTERED_DATE
9/11/2018 12:00:00 AM
SITE_LOCATION
22261 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
9/23/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\22261\PA-0500838\SU0011925\BOS OK.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: SU0011925 <br /> DATE RECEIVED by EHD: September 20,2018 APPL#: PA-0500838 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2611 <br /> SUBI)PJISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, September 26, 2018 7((1101 1p.K(C ion <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 22261 S MOUNTAIN HOUSE PKWY, TRACY APN : 20906008 <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: M lac Sp Public Sewer: 44 �f«� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /VO A Ili a/ S40kr- <br /> 5,49 V1'6.+ Iv/zlly : lnbSfr" Car t"feS e)urny+d A+- S tP• <br /> obse r,m-A rjhV&l._ Car tkrfs . <br /> "SMF r1�Cl, aN.et .S�i�ff�.•�.Q r•w 4/,eia . <br /> Cuin�v..'fs; aY <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0& II Check ff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 21,2018 <br />
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