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SU0003605
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0200337
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SU0003605
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Entry Properties
Last modified
5/7/2020 11:30:05 AM
Creation date
9/8/2019 12:37:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003605
PE
2690
FACILITY_NAME
PA-0200337
STREET_NUMBER
11651
Direction
E
STREET_NAME
PALM
STREET_TYPE
AVE
City
MANTECA
ENTERED_DATE
5/7/2004 12:00:00 AM
SITE_LOCATION
11651 E PALM AVE
RECEIVED_DATE
8/2/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PALM\11651\PA-0200337\SU0003605\APPL.PDF \MIGRATIONS\P\PALM\11651\PA-0200337\SU0003605\CDD OK.PDF \MIGRATIONS\P\PALM\11651\PA-0200337\SU0003605\EH COND.PDF \MIGRATIONS\P\PALM\11651\PA-0200337\SU0003605\EH PERM.PDF
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EHD - Public
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IBJ <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) M-%KE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: U COMPLETE & SUBMIT BY �"� 3/ 9 <br /> Zo <br /> DAT DATE <br /> ATTN: <br /> SITE ADDRESS: �— <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: Proofread report? Correct LA7BOOK?] <br /> Correct CONDITION(.S)? Logged in LAND U <br /> EH 06 06 Rev I/99 <br />
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