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SU0004495
EnvironmentalHealth
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2600 - Land Use Program
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PA-0400255
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SU0004495
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Entry Properties
Last modified
5/7/2020 11:30:48 AM
Creation date
9/9/2019 10:16:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004495
PE
2622
FACILITY_NAME
PA-0400255
STREET_NUMBER
17336
Direction
E
STREET_NAME
SOLA
STREET_TYPE
RD
City
STOCKTON
APN
18312005
ENTERED_DATE
5/27/2004 12:00:00 AM
SITE_LOCATION
17336 E SOLA RD
RECEIVED_DATE
5/25/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SOLA\17336\PA-0400255\SU0004495\APPL.PDF \MIGRATIONS\S\SOLA\17336\PA-0400255\SU0004495\CDD OK.PDF \MIGRATIONS\S\SOLA\17336\PA-0400255\SU0004495\EH COND.PDF \MIGRATIONS\S\SOLA\17336\PA-0400255\SU0004495\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL`,:RMITS (Septic, Well, etc.) MAKE.-.,)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004495 <br /> DATE RECEIVED by EHD: May 25,2004 APPL#: PA-04-255 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 15, 2004 Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 17336 E SOLA RD, STOCKTON APN : 18312005 <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 /> �:5-z� <br /> r <br /> %�T'L� � t .t C.Q + �' i G,'('�! ++.1•'�LM�'r% U �f�v".�` Gt-^"'�!k' C�V�,'�„ <br /> I recommend: Approval Denial ContinuanceInspector: <br /> QG Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> s <br /> Ay <br /> L-y L -L.( 0, Ot�CrIW-'�,�ifi'�"1 �V�c f�LM1i /.ytN�.'3''►f.�-l4'�! 1 � C�/�'✓� / " ��/2l''L`E-</ <br /> a b (%ate li-41-12 A44 <br /> d <br /> -740 <br /> U.44i OC!') <br /> zx� Ll <br /> oil <br /> `. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <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#7201Page 4 n �,, .-n�jt� � W ft� --?"Z4 June 03,2004 <br /> (e) `! 1 <br />
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