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SU0010024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0010024
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Entry Properties
Last modified
5/7/2020 11:34:21 AM
Creation date
9/6/2019 10:40:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010024
PE
2632
FACILITY_NAME
PA-1400067
STREET_NUMBER
6041
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
04923011
ENTERED_DATE
4/15/2014 12:00:00 AM
SITE_LOCATION
6041 E KETTLEMAN LN
RECEIVED_DATE
4/14/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\6041\PA-1400067\SU0010024\APPL.PDF \MIGRATIONS\K\KETTLEMAN\6041\PA-1400067\SU0010024\EH COND.PDF \MIGRATIONS\K\KETTLEMAN\6041\PA-1400067\SU0010024\EH PERM.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: SU0010024 <br /> DATE RECEIVED by EHD: April 14,2014 APPL#: PA-1400067 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE: 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE & SUBMIT BY: Tue, May 6, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 6041 E KETTLEMAN LN, LODI APN: 04923011 <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 <br /> �� Name of System <br /> SUMMARY OR COMMENTS: ll_ <Lf= ' ) Z�L. e Zh-W,6��, 3 J 2,a 4-44QE A?7-2 i-s <br /> z,a ar-- PZZ&eE�s.��5 15-6--1"zy <br /> - s � �a..,t��=�� �,✓�w off/ s � .4 u�r ,�/� <br /> /ice G14r/����c� S�'LCt. 5Y�7F2'r� <br /> ' �f�f�.�EIZ �i5i3�2'f A9�ic�LS lY..GJ�o /S «1 .moi=PLi4CfT� �rf+✓s1TGG��'/at�/.��SY-IGF.Lr2r�r � <br /> LS L/ C E} f1E?As4 ,S�7CG _ �1{LS�!/iC113)1 7�(L=Q?57c.✓6 .Sd�zrcT4�_ <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspect <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> — T2cLUs�i►� 7 /c' <br /> F <br /> //1 621 <br /> SUPERVISOR/LEAD SENIOR Approval: /09Y A'A-e-' Date: 5 f / <br /> good <br /> EH 06 06 Report#7201 April 15.2014 <br />
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