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SU0012364
EnvironmentalHealth
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SU0012364
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Entry Properties
Last modified
5/7/2020 11:35:44 AM
Creation date
9/9/2019 10:42:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012364
PE
2631
FACILITY_NAME
PA-1800207
STREET_NUMBER
28850
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95377-
APN
25312053
ENTERED_DATE
6/11/2019 12:00:00 AM
SITE_LOCATION
28850 S TRACY BLVD
RECEIVED_DATE
7/18/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\28850\PA-1800207\SU0012364\APPL.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: SU0012364 <br /> DATE RECEIVED by EUD: July 18,2019 APPL#: PA-1800207 <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 SHDI <br /> SITE ADDRESS: 28850 S TRACY BLVD,TRACY APN : 25312053 <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 /> I recommend: Approval F1 Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All h k HLi : Proofread Report? Correct LAND USE#? 7 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 July 18,2019 <br />
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