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SU0012497
EnvironmentalHealth
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SU0012497
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Entry Properties
Last modified
11/8/2019 3:06:26 PM
Creation date
11/8/2019 1:56:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012497
PE
2632
FACILITY_NAME
PA-1900187
STREET_NUMBER
7130
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231-
APN
19307007
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
7130 S EL DORADO ST
RECEIVED_DATE
9/20/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012497 <br /> DATE RECEIVED by EHD: September 20,2019 APPL#: PA-1900187 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 10, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 7130 S EL DORADO ST, FRENCH CAMP APN : 19307007 <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: None, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Na & "j'Wdr Selo'4,� '/e. <br /> y d,'Ye- Kt G� �.val< san►�It tt P w� <br /> Va 1--e <br /> 't- SyS jeN► / �tter/lrb_ lir�C �KA �r� Sa• // Jd� <br /> ( ^elf el - le—,. F<e/ �,.I c_� <t"e 04011'r • �/YIA6�� L� 4llr�f ,aiw f e , <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> h ck Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 23,2019 <br />
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