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SU0012441
EnvironmentalHealth
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SU0012441
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Entry Properties
Last modified
12/6/2019 10:09:51 AM
Creation date
12/6/2019 9:59:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012441
PE
2687
FACILITY_NAME
PA-1900037
STREET_NUMBER
1026
Direction
E
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258-
APN
01545027
ENTERED_DATE
7/18/2019 12:00:00 AM
SITE_LOCATION
1026 E MOKELUMNE ST
RECEIVED_DATE
7/18/2019 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 /> LAND USE REPORT RECORD ID: SU0012441 <br /> DATE RECEIVED by EHD: July 18,2019 APPL#: PA-1900037 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2687 <br /> GP AMENDMENT-5 acres(GP) <br /> COMPLETE&SUBMIT BY: Thu, July 25, 2019 <br /> Assigned to : EE0007380 SHIH <br /> SITE ADDRESS: 1026 E MOKELUMNE ST, WOODBRIDGE APN : 01545"027 <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: M Oke-1(4 nnre, �c a s �/,S Public Sewer: WOOD &-, 5 ; o-y- 1�547-4 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ,l , PM/ ; �' (� © P1 e(Ord <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/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 July 19,2019 <br />
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