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SU0002481
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACOBS
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6514
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2600 - Land Use Program
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SA-01-46
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SU0002481
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Entry Properties
Last modified
5/7/2020 11:29:14 AM
Creation date
9/6/2019 10:28:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002481
PE
2633
FACILITY_NAME
SA-01-46
STREET_NUMBER
6514
Direction
W
STREET_NAME
JACOBS
STREET_TYPE
RD
City
STOCKTON
ENTERED_DATE
10/29/2001 12:00:00 AM
SITE_LOCATION
6514 W JACOBS RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACOBS\6514\SA-01-46\SU0002481\APPL.PDF \MIGRATIONS\J\JACOBS\6514\SA-01-46\SU0002481\CDD OK.PDF \MIGRATIONS\J\JACOBS\6514\SA-01-46\SU0002481\EH COND.PDF \MIGRATIONS\J\JACOBS\6514\SA-01-46\SU0002481\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL PERI,�i S (SEPTIC, WELL, ETC...) :EKE COPIES FOR FILE <br /> LAND USE REPORT APP# Srf_+ -f; l - <br /> EIID RECEIVED APP.REFERRAL: (D I b COMPLETE & SUBMIT BY `4' " / q -- <br /> DA E J� ,, _ n ` DATE <br /> SITE ADDRESS: { 5& 1,4 vlarlAOx eCl SO4,,j�/^ <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> }� IaEli CA51N� j{Iyp L9oN1>Ul7� cN 4Ai— wikls4 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> Supervisor/Lead Sgnior Comments: <br /> ; <br /> ate' <br /> ■ <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA/!CHECK <br /> 'LIST. Proofread report? Correct LAND USE#T <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />
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