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SU0012181
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900006
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SU0012181
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Entry Properties
Last modified
5/7/2020 11:35:40 AM
Creation date
9/6/2019 10:36:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012181
PE
2690
FACILITY_NAME
PA-1900006
STREET_NUMBER
17590
Direction
S
STREET_NAME
KELSO
STREET_TYPE
RD
City
TRACY
Zip
95391-
APN
25803001, 25802023, 25802025
ENTERED_DATE
2/5/2019 12:00:00 AM
SITE_LOCATION
17590 S KELSO RD
RECEIVED_DATE
2/14/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KELSO\17590\PA-1900006\SU0012181\APPL.PDF \MIGRATIONS\K\KELSO\17590\PA-1900006\SU0012181\CDD OK.PDF \MIGRATIONS\K\KELSO\17590\PA-1900006\SU0012181\EH PERM.PDF \MIGRATIONS\K\KELSO\17590\PA-1900006\SU0012181\EHD COND.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: SU0012181 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1900006 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, February 15, 2019 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17590 S KELSO RD,TRACY APN : 25803001,25802023,25802025 <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: #&So Public Sewer: Vo?rsD <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6te &46, "4 vellS artsQ ;ej)4Y peyv,,fS• <br /> Yrdsl3� cla��v� )I&JIOL .x)t s-o;~l 4, .nc <br /> C�►urt✓f detfj'r S��� 4 XY4 Atet .rr�ia�'. <br /> S/Zuo �li��dpo @i->I:- ,../i,.s-.�U,�>r .-eta �-uit 0+���y� 6��',•1Y <br /> I recommend: Approval El Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II Check S Li : Proofread Report? I Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 14,2019 <br />
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