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SU0011735
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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9296
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2600 - Land Use Program
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PA-1800064
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SU0011735
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Last modified
11/19/2024 3:48:17 PM
Creation date
9/9/2019 10:27:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011735
PE
2666
FACILITY_NAME
PA-1800064
STREET_NUMBER
9296
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05112056
ENTERED_DATE
3/30/2018 12:00:00 AM
SITE_LOCATION
9296 E HWY 12
RECEIVED_DATE
3/30/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0011735\APPL.PDF \MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0011735\EHD COND.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? F� Yes F-1 No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? E] Yes E] No Is well properly sealed and constructed ? F-� Yes E] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? E] Yes Ej No Is Public Water System Permit current ? Yes Ej No <br /> Does existing or proposed use make this a Public Water System ? r-] Yes Ej No <br /> Is water/well sampling current? F-1 Yes F-1 No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? F� Yes F-1 No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY.MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 March 30,2018 <br />
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