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SU0013545
EnvironmentalHealth
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SU0013545
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Last modified
2/9/2022 4:22:32 PM
Creation date
7/29/2020 1:23:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013545
PE
2631
FACILITY_NAME
PA-1900132
STREET_NUMBER
2482
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95205-
APN
17914018
ENTERED_DATE
7/27/2020 12:00:00 AM
SITE_LOCATION
2482 E CARPENTER RD
RECEIVED_DATE
7/21/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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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: SU0013545 <br /> DATE RECEIVED by EHD: July 21,2020 APPL#: PA-1900132 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE: 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, August 73, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 2482 E CARPENTER RD, STOCKTON APN: 17914018 <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: ON Public Sewer: 1110 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> :2A <br /> A, <br /> I recommend: Approval Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> )a-A 3 <br /> SUPERVISOR/LEAD SENIOR Approval: -�j Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 04,2020 <br />
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