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SU0007878
EnvironmentalHealth
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SU0007878
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Last modified
5/7/2020 11:33:16 AM
Creation date
9/18/2019 9:20:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007878
PE
2690
FACILITY_NAME
PA-0900189
STREET_NUMBER
17604
Direction
E
STREET_NAME
EUGENIA
STREET_TYPE
AVE
City
RIPON
APN
24521028 29
ENTERED_DATE
8/25/2009 12:00:00 AM
SITE_LOCATION
17604 E EUGENIA AVE
RECEIVED_DATE
8/24/2009 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS4\E\EUGENIA\17604\PA-0900189\SU0007878\EH COND.PDF \MIGRATIONS4\E\EUGENIA\17604\PA-0900189\SU0007878\APPL.PDF \MIGRATIONS4\E\EUGENIA\17604\PA-0900189\SU0007878\CDD OK.PDF
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EHD - Public
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NOTE: PULL ALL%,-,,:RMITS (Septic, Well, etc.) MAKEi,�PIES 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 ? 0 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? F-1 Yes M No <br /> Additional information or comments: <br /> i <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-� Yes ❑ No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY,MOSOUITO 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 /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 66 Report#7201 August 25,2009 <br /> I <br />
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