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SU0012431
EnvironmentalHealth
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SU0012431
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Entry Properties
Last modified
5/7/2020 11:35:45 AM
Creation date
9/9/2019 11:17:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012431
PE
2664
FACILITY_NAME
PA-1900158
STREET_NUMBER
1101
Direction
N
STREET_NAME
ZUCKERMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95219-
APN
12931012
ENTERED_DATE
7/16/2019 12:00:00 AM
SITE_LOCATION
1101 N ZUCKERMAN RD
RECEIVED_DATE
7/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\Z\ZUCKERMAN\1101\PA-1900158\SU0012431\APPL.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012431 <br /> DATE RECEIVED by EHD: July 23,2019 APPL#: PA-1900158 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2664 <br /> VARIANCE-FLOOD(VR) <br /> COMPLETE&SUBMIT BY: Thu, August 8, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 1101 N ZUCKERMAN RD, STOCKTON APN : 12931012 <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: „u, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: d ;'.l� v,r.✓ ' / <br /> 1� /! ►tJo at��'rsrl a 1 s o�,'.r (a� �, �<t .-9j>n/ /z 9'— 3/-olZ. <br /> �fa� ^�' z✓c�rrr�u...- /Z�i �� d� /V- Zd�/c'lriYj6i... %ZOJ. <br /> pp M t S <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA11 h k Off List: Proofread Report? Correct LAND USE#? <br /> n . Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 26,2019 <br />
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