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NOTE: PULL ALI:-, cRMITS (Septic, Well, etc.) MAKE L-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008772 <br /> DATE RECEIVED by EHD: June 03,2011 APDL#: PA-1100093 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, June 27, 2011 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18045 S KELSO RD, TRACY APN : 25802029 <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 Sew <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Fi <br /> AA P . cl <br /> • lCx.�� ti+!'tr{/��- g,r- Vie, c- � �,�_ <br /> V <br /> I recommend: ApprovalFZ Denial Continuance Inspect T4 <br /> Supervisor/Lead Senior COMMENTS: <br /> L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA fl Cfreck�Off List ,$�� Pcotfre�deplrt? '6orrecf tND. SE'#? ` <br /> 'N' <br /> F., 'Logged?: 1�3 <br /> goCc.. <br /> 8H 06 06 Report 47201 <br /> June 06,2011 <br />