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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> .AND USE REPORT RECORD ID: SU0008163 <br /> DATE RECEIVED by EHD: March 25,2010 APDL#: PA-1000065 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, April 20, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 16900 W SCHULTE RD, TRACY APN : 20943001 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> applies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> Tensity, Iocation of house, wind direction, etc.... <br /> 3ublic Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> :UMMARY OR COMMENTS: 7 �� <br /> o 7 <br /> recommend: Approval Denial ❑ Continuance Insp <br /> u ervisor/Lead Senior COMMENTS: <br /> UPERVISOR/LEAD SENIOR Approval: — Date: ] Z <br /> Proofread Re ort7' <br /> OA 11 Check`Off List, Correct CONDITION( ° tl ed 1n]SAND D� �� . <br /> ). <br /> _. ., � .USE>�oolc'; <br /> H 06 06 Report 47201 March 26,2010 <br />