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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007443 <br /> DATE RECEIVED by EIID: October 27,2008 APPL#: MS-0800323 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, November 19, 2008 <br /> Assigned to : EE0005366 MEDINA {3/ <br /> SITE ADDRESS: 10020 W PELTIER RD,THORNTON APN : Ot - i`02 <br /> 'r <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: o Public Sewer: /b <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 04 <br /> 11:11 (a) <br /> 11:06: <br /> 22:02 = <br /> 11:03 (a) <br /> 22:01 <br /> 203:01 Applicant shall submit a revised site plan to the Environmental Health <br /> Department (EHD) depicting all water well locations (San Joaquin County <br /> _ Ordinance Code, Section 9-1115.6). <br /> I recommend: Approval enial H Continuance LlInspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 12 5C'Q Ole,/7c- <br /> SUPERVISOR/LEAD SENIOR Approval: — L_. Date: <br /> OA l/Check ON List: Proofread Report? - Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USP Book? <br /> EH 06 06 Report 97201 October 27,2008 <br />