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SU0013001
EnvironmentalHealth
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SU0013001
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Last modified
3/24/2020 11:40:23 AM
Creation date
2/4/2020 8:26:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013001
PE
2632
FACILITY_NAME
PA-1900187
STREET_NUMBER
7130
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231-
APN
19307007
ENTERED_DATE
1/29/2020 12:00:00 AM
SITE_LOCATION
7130 S EL DORADO ST
RECEIVED_DATE
1/29/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
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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: SU0013001 <br /> DATE RECEIVED by EHD: January 29,2020 APPL#: PA-1900187 <br /> Referral Agency STAFF CONTACT' RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, February 13, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 7130 S EL DORADO ST, FRENCH CAMP APN : 19307007 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �� <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0A11 h k ff Li Proofread Report? Correct LAND USE <br /> #9- <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 29,2020 <br />
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