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SU0005286
EnvironmentalHealth
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SU0005286
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Last modified
5/7/2020 11:31:35 AM
Creation date
9/6/2019 10:33:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005286
PE
2632
FACILITY_NAME
PA-0500481
STREET_NUMBER
26639
Direction
E
STREET_NAME
JONES
STREET_TYPE
AVE
City
ESCALON
APN
24718003
ENTERED_DATE
8/10/2005 12:00:00 AM
SITE_LOCATION
26639 E JONES AVE
RECEIVED_DATE
8/9/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JONES\26639\PA-0500481\SU0005286\APPL.PDF \MIGRATIONS\J\JONES\26639\PA-0500481\SU0005286\EH COND.PDF \MIGRATIONS\J\JONES\26639\PA-0500481\SU0005286\MISC.PDF
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EHD - Public
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NOTE: PULL ALLti RMITS (Septic, Well, etc.) MAKE a.,JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005286 <br /> DATE RECEIVED by EHD: August 09,2005 APPL#: PA-0500481 - <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, September 6, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 26639 E ,TONES AVE, ESCALON APN : 24718003 <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 COMMENTS: 44 - <br /> 7a �j�/11! a <br /> I recommend: Approval14 <br /> Denial ❑ Continuance ❑ Inspector• ! <br /> Signatuie <br /> Supervisor/Lead Senior COMMENTS: <br /> » <br /> k <br /> SUPERVISOR/LEAD SENIOR Approval: `- Date: ✓`� <br /> OA It Check Off List°-_ -Proofread Report?" C6ft&t LAN j)USE�7 <br /> ' : Correct CONDITION(Sj:'� _ Lagged in LAND USE Boqls <br /> EH 06 06 Report 47201 August 11,2005 <br />
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