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SU0012439
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SU0012439
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Entry Properties
Last modified
5/7/2020 11:35:46 AM
Creation date
9/9/2019 9:03:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012439
PE
2631
FACILITY_NAME
PA-1900012
STREET_NUMBER
1811
Direction
N
STREET_NAME
REPORT
STREET_TYPE
AVE
City
STOCKTON
Zip
95205-
APN
14314034
ENTERED_DATE
7/17/2019 12:00:00 AM
SITE_LOCATION
1811 N REPORT AVE
RECEIVED_DATE
7/17/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\REPORT\1811\PA-1900012\SU0012439\APPL.PDF \MIGRATIONS\R\REPORT\1811\PA-1900012\SU0012439\CDD OK.PDF \MIGRATIONS\R\REPORT\1811\PA-1900012\SU0012439\EH COND.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: SU0012439 <br /> DATE RECEIVED by EHD: July 17,2019 APPL#: PA-1900012 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, August 8, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 1811 N REPORT AVE, STOCKTON APN : 14314034 <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: (k;z-j� Public Sewer: S 5 S P <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _ �IkLE h �--j E _ e 0���L w T"- S LAPP VI <br /> v J A�1E S' --w '/j o C <br /> ` SCS F_ cnQrtJt�1 `'� _Ffr W01�1� /7'L / 27 X2-9 L q <br /> �Qo�Fc pivsC��pr�N I� S�n� O�S <", 2.`� <br /> S1-N obVZ�lPta lda u Y ��'. 0 5 ; - y C"k U V4,0 G'-k 0,(n(c_ <br /> I recommend: Approval F-1 Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> _k <br /> EH 06 06 Report#7201 July 18,2019 <br />
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