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SU0012639
EnvironmentalHealth
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SU0012639
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Entry Properties
Last modified
12/27/2019 9:06:39 AM
Creation date
11/18/2019 10:24:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012639
PE
2631
FACILITY_NAME
PA-1900254
STREET_NUMBER
90
Direction
W
STREET_NAME
LINCOLN CENTER
City
STOCKTON
Zip
95207-
APN
09741079
ENTERED_DATE
11/14/2019 12:00:00 AM
SITE_LOCATION
90 W LINCOLN CENTER
RECEIVED_DATE
11/8/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
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: SU0012639 <br /> DATE RECEIVED by EHD: November 08,2019 APPL#: PA-1900254 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, December 5, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 90 W LINCOLN CENTER, STOCKTON APN : 09741079 <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: %_-,CkD(.bW Public Sewer: ( I' NGOL,y U, Ct-A-ci E Alp. <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> SLT � U 4 61A 1411 Rel <br /> A/0 IV LDNS7.P— <br /> Ri'e �L��T�oN 1�0UC--¢,r�51-0(h <br /> I recommend: Approval ❑ Denial F-1 Continuance F] Inspector: <br /> Signature <br /> Sul2ervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: �� Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 14,2019 <br />
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