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SU0004687
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0004687
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Entry Properties
Last modified
5/7/2020 11:31:06 AM
Creation date
9/8/2019 1:03:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004687
PE
2622
FACILITY_NAME
PA-0400634
STREET_NUMBER
11515
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
APN
10328013
ENTERED_DATE
11/3/2004 12:00:00 AM
SITE_LOCATION
11515 E NORMAN AVE
RECEIVED_DATE
11/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\APPL.PDF \MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\CDD OK.PDF \MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\EH COND.PDF \MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\SURV MEMO.PDF
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EHD - Public
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NOTE: PULL ALL v.AMITS (Septic, Well, etc.) MAKE *mopIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004687 <br /> DATE RECEIVED by EHD: November 02,2004 APPL#: PA-04-634 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, November 16, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11515 E NORMAN AVE, STOCKTON APN : 10328013 <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: <br /> — /ZGL'.C���Cf��: /C-�i�>/IS G��O Ct�7�i••l ���GF <br /> i 5 —7 L <br /> G�HYCs� et�J7.4-i.✓,� /a-G.4?ls�.4'�i'e�7 fr!/ S�G�..�-!s �I3/ Q��.�711�02 .%E��4�� <br /> !!Z S G <br /> kSs Ci e—I.✓ <br /> I r ommend: Approval © Denial Continuance Inspector: <br /> Signature <br /> Su ervisor enior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA!I Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Ila,-,c 3 November 01,2004 <br />
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