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SU0012338
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900118
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SU0012338
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Entry Properties
Last modified
5/7/2020 11:35:43 AM
Creation date
9/9/2019 11:03:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012338
PE
2632
FACILITY_NAME
PA-1900118
STREET_NUMBER
6484
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09344002
ENTERED_DATE
5/28/2019 12:00:00 AM
SITE_LOCATION
6484 N WAVERLY RD
RECEIVED_DATE
6/10/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\W\WAVERLY\6484\PA-1900118\SU0012338\APPL.PDF \MIGRATIONS\W\WAVERLY\6484\PA-1900118\SU0012338\EH 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? ❑ Yes ❑ 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? ❑ Yes ❑ No Is well properly sealed and constructed? ❑ Yes ❑ No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system? ❑ Yes ❑ No Is Public Water System Permit current? ❑ Yes ❑ No <br /> Does existing or proposed use make this a Public Water System ? ❑ Yes ❑ No <br /> Is water/well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? ❑ Yes ❑ 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 /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> June 18,2019 <br /> EH 06 06 Report#7201 <br />
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