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SU0012964
EnvironmentalHealth
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PA-1900293
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SU0012964
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Entry Properties
Last modified
6/8/2020 3:19:38 PM
Creation date
1/23/2020 10:18:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012964
PE
2634
FACILITY_NAME
PA-1900293
STREET_NUMBER
19629
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391-
APN
25455029
ENTERED_DATE
1/21/2020 12:00:00 AM
SITE_LOCATION
19629 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
1/21/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? ❑ Yes ❑ No Is well properly sealed and constructed ? F-1 Yes ❑ No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? F-1 Yes ❑ No Is Public Water System Permit current? E] Yes E] No <br /> Does existing or proposed use make this a Public Water System? [__j Yes ❑ No <br /> Is water/well sampling current? F-1 Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? ❑ Yes ❑ No Service Area Na <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 January 21,2020 <br />
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