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SU0012547
EnvironmentalHealth
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2600 - Land Use Program
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SU0012547
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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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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? Yes F-1 No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes F-1 No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? E] Yes F] No Is well properly sealed and constructed ? F] Yes F] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? F-] Yes F-1 No Is Public Water System Permit current? F] Yes E] No <br /> Does existing or proposed use make this a Public Water System ? F-1 Yes No <br /> Is water/well sampling current? F-1 Yes F-1 No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? F_� Yes F-1 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 /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 September 13,2019 <br />
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