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SU0010133
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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24323
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2600 - Land Use Program
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PA-1400117
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SU0010133
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Entry Properties
Last modified
11/19/2024 1:59:03 PM
Creation date
9/8/2019 12:56:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010133
PE
2631
FACILITY_NAME
PA-1400117
STREET_NUMBER
24323
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220-
APN
00516019
ENTERED_DATE
7/10/2014 12:00:00 AM
SITE_LOCATION
24323 N HWY 99
RECEIVED_DATE
7/8/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\24323\PA-1400117\SU0010133\APPL.PDF \MIGRATIONS\N\HWY 99\24323\PA-1400117\SU0010133\CDD OK.PDF \MIGRATIONS\N\HWY 99\24323\PA-1400117\SU0010133\EH COND.PDF \MIGRATIONS\N\HWY 99\24323\PA-1400117\SU0010133\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: SU0010133 <br /> DATE RECEIVED by EHD: July 08,2014 APPL#: PA-1400117 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE: 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, July 22, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 24323 N HWY 99 , ACAMPO APN: 00516019 <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 Name of System <br /> SUMMARY OR COMMENTS: /2'a/&*J: zke'-GJ 1///6EOuGQ &A A 7a tr_s <br /> • T.�f� SCJc �.0��.i/s ,.A-.t"-uF��.� 5�7cc�C�ir�} � L�.aG_zr�«ss�s7r3►-1 �-�f-lhw�-..�/ <br /> • >49 Mg-Mg-ecgy 7 <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 s!^ <br /> 'Iv-ir- �( <br /> iL- / <br /> SUPERVISOR/LEAD SENIOR Approval: it - � !7 Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? W <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 10,2014 <br />
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