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SU0012547
EnvironmentalHealth
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SU0012547
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Entry Properties
Last modified
11/5/2019 2:30:28 PM
Creation date
11/5/2019 2:27:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012547
PE
2631
FACILITY_NAME
PA-1900046
STREET_NUMBER
1123
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10320008
ENTERED_DATE
9/13/2019 12:00:00 AM
SITE_LOCATION
1123 N JACK TONE RD
RECEIVED_DATE
9/13/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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UJ�6, tp . <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012547 <br /> DATE RECEIVED by EHD: September 13,2019 APPL#: PA-1900046 <br /> Referral Agency STAFF CONTACT' TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 10, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1123 N JACK TONE RD, STOCKTON APN: 10320008 <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: A&y Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: D���C Qv H t►+/; t�de /4 /^ 7 <br /> i� vel!( �tla�eo� `?-�ryi '� o,t /�,�/�. �1,�.t .�eL( �..�,� S/�C�Yy777 �� /'�'vf�J•�'�/y�i�! <br /> S'�� �/�3 � 9_!9'/91 ILII'{ ,l�HN� un 6'f� • ��JSP/� SACC dd�1'Kd�`C l�L�. r[d ��fH�S • O�JSPr� <br /> Gnt SA'? /a«,le,( na v-4 /l7i�21!�.7 fid✓�� a� nota,a�.+-�,� s�fo� moa//✓�a/ �a• <br /> `S J {i l►-rQ e�17 a••e ernetiecs '/�d Cs�+t J �� Sya ',,•, Glit°s d S�ld�a N� /Yb�✓�� /�or,e <br /> �� t5,Z1�l�b�.. ��� �j�j�Z� ,.✓'�L N� ��'1(�� /N�/l�t� .H14 � • .S�Ke��.�'� /I.�/ie�vffr . <br /> I recommend: Approval F1 Denial F-1 Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> I:11 00 00 Report P-7201 September 13,2019 <br />
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