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SU0011066
EnvironmentalHealth
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PA-1600206
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SU0011066
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Entry Properties
Last modified
5/7/2020 11:34:56 AM
Creation date
9/9/2019 11:06:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011066
PE
2622
FACILITY_NAME
PA-1600206
STREET_NUMBER
14629
Direction
E
STREET_NAME
WILDWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
20303002
ENTERED_DATE
9/23/2016 12:00:00 AM
SITE_LOCATION
14629 E WILDWOOD RD
RECEIVED_DATE
9/23/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011066\APPL.PDF \MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011066\EHD COND.PDF \MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011066\EHD PERM.PDF \MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011066\MISC.PDF
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EHD - Public
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f � <br /> NOTE. PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011066 <br /> DATE RECEIVED by EHD: September 23,2016 APPL#: PA-1600206 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 18, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14629 E WILDWOOD RD, STOCKTON APN : 20303002 <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 /> f.41cr�� ' i 3 rr 7r/ ��iG.✓.t7� 7162*Z4Z,-J ;e'L r�57�®✓7i116R✓ A5 <br /> �3t��ff , y. 6ylerrNn:l /.mss L���� <br /> PQ2L� rl�v l� i—+.nfS lG�(� t �F3 �✓rFa <I FJ u�3�� /y/a�3/�/�/lircu�rr <br /> 5s�1c� s sZ�1 R y Zcr � bl�i E/_V' ,t Z) <br /> A / rte ZP*/tWi/s�vc/ ro Lr �2 r2tiJ��.Sc3r/^Ec` 47/e Z"9221, <br /> AR kj <br /> I recommend: Approval F Denial Continuance Inspector: <br /> Signature <br /> SStu ervisor/Lead Senior COMMENTS: <br /> A) <br /> !i/f; .r1r7Cdffia/GiiC rn�.7rK C� �/€.A4sJ�L� ✓i7Yh7Z n cT Lbcn . 4 f�j� <br /> CC, &A-P zW�E9 44r - <br /> �> Z2!03 - -1MK9AI 1'/4-fic," Zi If+ fjiG ul- YEe:II1 - --' <br /> � /�� •5�,cvi�..vl�bvcE�C/� riiL� `3 Sc�i�lt i-///O C/!o•� -a 6•/ /1� .4�r� GG�L7iZr Z�;Srza.�/ <br /> /Jo'Q 60 Abrin Tiles <br /> 711Y�' 02 m A, <br /> SUMER 9414/LEAD SENIOR Approval: I V Date: <br /> A 11 Check Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 07201 September 23.2016 <br />
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