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SU0012228
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900039
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SU0012228
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Entry Properties
Last modified
10/5/2022 2:03:34 PM
Creation date
11/19/2019 1:30:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012228
PE
2622
FACILITY_NAME
PA-1900039
STREET_NUMBER
23577
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391-
APN
20908026
ENTERED_DATE
3/12/2019 12:00:00 AM
SITE_LOCATION
23577 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
7/11/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\23577\PA-1900039\SU0012228\CDD OK.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012535 <br /> DATE RECEIVED by EHD: September 06,2019 APPL#: PA-1900039 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, September 26, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 23577 S MOUNTAIN HOUSE PKWY,TRACY APN : 20908026 <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: ,vmi- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: o#v C SL o/122 1,4,r- 4 EhQ <br /> r�s1�,�,(••�' �,,,�frti l�•Ef��� •tom��.!' Ate` �J�- d� ���� , / <br /> sure du6s�i�x C C.s+-►�».%w�'�' yt`?if f Seo $a 6—S of �` wk�� ESD f'�'a��'i>rta-lc� <br /> A!,; w,7A &e Ef,Ov a ><�W o9✓9Y/j -r,-,r.4174,4L 1.r4 - <br /> s✓/ t�,eiP n,,6 r..v+�c t tea... �rysti!b� /Yl�ef�. �Pp �e�`�i^e+.iw '�/-C -7�r f(/Gie/1 Z I B � .r� <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Sihnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date. <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 06,2019 <br />
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