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SU0004097
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0200377
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SU0004097
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Entry Properties
Last modified
5/7/2020 11:30:30 AM
Creation date
9/9/2019 10:42:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004097
FACILITY_NAME
PA-0200377
STREET_NUMBER
32003
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
32003 S TRACY BLVD
RECEIVED_DATE
10/4/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\32003\PA-0200377\SU0004097\APPL.PDF \MIGRATIONS\T\TRACY\32003\PA-0200377\SU0004097\CDD OK.PDF \MIGRATIONS\T\TRACY\32003\PA-0200377\SU0004097\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL{. :RMITS (Septic, Well, etc.) MAKE JPiES FOR FILE �p <br /> LAND USE REPORT RECORD ID: SU0004696 �P <br /> DATE RECEIVED by EHD: November 09,2004 APPL#: PA-02-377(TE) 4u <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE -M- -a 6 D 15 Q�� <br /> EXCAVATION..AGRICULTURAL,;,�� <br /> COMPLETE& SUBMIT BY: Tue, December 7, 2004 h <br /> Assigned to: EE0000811 HUGGINS II <br /> SITE ADDRESS: 32003 S TRACY BLVD, TRACY APN : 25309010,11 <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 /> �II <br /> I� <br /> uu <br /> uu <br /> �u <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> du <br /> 42 <br /> �u <br /> uu <br /> du <br /> du <br /> uu <br /> uu . <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: a' r <br /> r Praofrcad Report?DA 11 Check Oft List.- P Correct LAND USE#7 . <br /> `( Correct CONDITION(5 ;7 Logged to LAND USE Book? <br /> IpI <br /> EH 06 06 Report 47201 Page 2 November 16 2004 <br />
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