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SU0013191
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLOVER
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2600 - Land Use Program
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SD-92-173
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SU0013191
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Entry Properties
Last modified
4/29/2020 11:20:35 AM
Creation date
4/29/2020 10:54:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013191
PE
2600
FACILITY_NAME
SD-92-173
STREET_NUMBER
11240
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
21418037
ENTERED_DATE
4/20/2020 12:00:00 AM
SITE_LOCATION
11240 W CLOVER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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1 . e111L1AGE <br /> Distance to Public Sewers Connection necessary: Yes No-L <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes ,nom No Is well proper: <br /> Yes, No State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No�_ Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> F2lf.5 /,K uX'-�! �T h3 L' LeS-er.( ham, cICI)II-d <br /> i <br /> 3 . GARBAqE & REFUSE <br /> License scavenger pick-up: Yes No Service,,��a No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . F-LLY-L MOSQUITQ0R u ,.TCS ZCi'j'rT, iTIQ1TL <br /> State possible vectp r potentiftl & necessary control: <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing : Additional <br /> facilities needed <br /> 6 . PREVIOi1S OPERATIOi� Hj�_TC1 i <br /> 7 . GENERAL SAt T " O <br /> State any problems not previously noted : _ <br /> 3 . EjnpULATION DFNd311v, <br /> Appx. No . People per rq . r;,i . <br />
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