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SU0005890
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-0500841
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SU0005890
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Entry Properties
Last modified
5/7/2020 11:31:50 AM
Creation date
9/9/2019 9:01:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005890
PE
2631
FACILITY_NAME
PA-0500841
STREET_NUMBER
21400
Direction
N
STREET_NAME
RAY
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01302027 28 29
ENTERED_DATE
1/24/2006 12:00:00 AM
SITE_LOCATION
21400 N RAY RD
RECEIVED_DATE
1/24/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\RAY\21400\PA-0500841\SU0005890\APPL.PDF \MIGRATIONS\R\RAY\21400\PA-0500841\SU0005890\CDD OK.PDF \MIGRATIONS\R\RAY\21400\PA-0500841\SU0005890\EH COND.PDF \MIGRATIONS\R\RAY\21400\PA-0500841\SU0005890\MISC.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: SU0005890 <br /> DATE RECEIVED by EHD: January 24,2006 APPL#: PA-0500841 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, February 8, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 21400 N RAY RD, LODI APN : 01302027 28 29 <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 hLmp of S ste Z�� <br /> SUMMARY OR COMMENTS: �� <br /> Sle <br /> moo?• <br /> I ecq�ne d: Ap oval enial Continuance Insp <br /> � l iJ Sig ature <br /> SuyeryivisorlLead Senior COMMENTS: <br /> � o <br /> SUPERVISOR/LEAD SENIOR Approval: zv Date: Z 7 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 24,2006 <br />
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