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SU0004273
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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12680
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2600 - Land Use Program
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PA-0300121
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SU0004273
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Entry Properties
Last modified
11/19/2024 1:58:51 PM
Creation date
9/8/2019 12:52:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004273
PE
2632
FACILITY_NAME
PA-0300121
STREET_NUMBER
12680
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
ENTERED_DATE
5/17/2004 12:00:00 AM
SITE_LOCATION
12680 N HWY 99
RECEIVED_DATE
4/1/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\12680\PA-0300121\SU0004273\EH PERM.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERNMS (SEPTIC, WELL, ETC...) Ni—AE COPIES FQR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: I v✓ COMPLETE & SUBMIT BY / l)✓/c-j <br /> D E DATE <br /> AT N: .c <br /> SITE ADDRESS: o�(� (Z� �"� - <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 /> ol /rf-�� <br /> I recommend: Approval <br /> _,ZDenial Continuance Inspector's Si re <br /> �c*ic icxxrc�cxicxic 4c is is 9c>c is icxX9c is icx:c is icx is is icx�c is icx icxxicx x>c is icx*x xic ix ic>c�c is is icxic�c icxx�c 9cx�c is x>c�ctic*tic*x�c�c x`ac�c�c*�c icx�Yz <br /> Supervisor/Lead Senior Comments: <br /> d i 4" --:--0 <br /> .c.-r.v <br /> VV <br /> 4V V <br /> e <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />
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