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SU0012713
EnvironmentalHealth
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PA-1900261
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SU0012713
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Entry Properties
Last modified
11/20/2024 9:09:40 AM
Creation date
12/26/2019 2:01:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012713
PE
2626
FACILITY_NAME
PA-1900261
STREET_NUMBER
18350
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215-
APN
18314010
ENTERED_DATE
12/24/2019 12:00:00 AM
SITE_LOCATION
18350 E HWY 4
RECEIVED_DATE
12/23/2019 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: SU0012713 <br /> DATE RECEIVED by EHD: December 23,2019 APPL#: PA-1900261 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, January 9, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 18350 E HWY 4 , STOCKTON APN : 18314010 <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: 0� Public Sewer: go N E- <br /> Name of Purveyor Name ofSystem <br /> SUMMARY OR COMMENTS: PkN \ (b3 \<t,C�^O - CC' <br /> 1-7 <br /> UI-7 CoS <br /> Wi�V�S - � �yd�.'S..�. ����., �G�i.►y(n 5 T� �r�S�- - ��M F N r <br /> 1560 L p DAX--- <br /> 4 W t", £�--w +ii— <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Ch ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 24,2019 <br />
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