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SU0009012
EnvironmentalHealth
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PA-1100234
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SU0009012
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Entry Properties
Last modified
5/7/2020 11:33:48 AM
Creation date
9/6/2019 10:41:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009012
PE
2622
FACILITY_NAME
PA-1100234
STREET_NUMBER
32521
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
APN
25510026
ENTERED_DATE
12/22/2011 12:00:00 AM
SITE_LOCATION
32521 S KOSTER RD
RECEIVED_DATE
12/22/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KOSTER\32521\PA-1100234\SU0009012\APPL.PDF \MIGRATIONS\K\KOSTER\32521\PA-1100234\SU0009012\CDD OK.PDF \MIGRATIONS\K\KOSTER\32521\PA-1100234\SU0009012\EH COND.PDF \MIGRATIONS\K\KOSTER\32521\PA-1100234\SU0009012\SURV MEMO.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: SU0009012 <br /> DATE RECEIVED by EHD: December 22,2011 APPL 4: PA-1100234 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, January 17, 2012 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 32521 S KOSTER RD, TRACY APN : 25510026 <br /> [n 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 /> SUMMAjR/Y- OR COMMENTS: � 5ik— r✓it;A .4 O'h ser( -c_ uvtte dary' 1 r� <br /> �ar"I1M�Y�^7 'Y��.LX.X-� it-} T4 nYUro�l <br /> Il , v i , <br /> i 0 ;L' 21 — wrll r <br /> g I <br /> 1 recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ;9 <br /> . 02 t1 <br /> Loll ?� <br /> ltz�41/1 <br /> 3C4FRV'1SOR I LEAD SENIOR Approval: Date: rz <br /> OA 11 Check ON List. Proofread Report? t- Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br />
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