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SU0013562
EnvironmentalHealth
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SU0013562
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Entry Properties
Last modified
9/1/2020 2:36:06 PM
Creation date
8/7/2020 11:01:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013562
PE
2608
FACILITY_NAME
PA-2000063
STREET_NUMBER
17400
Direction
W
STREET_NAME
BETHANY
STREET_TYPE
RD
City
TRACY
Zip
95391-
APN
20915029
ENTERED_DATE
8/5/2020 12:00:00 AM
SITE_LOCATION
17400 W BETHANY RD
RECEIVED_DATE
7/31/2020 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 /> LAND USE REPORT RECORD ID: SU0013562 <br /> DATE RECEIVED by EHD: July 31,2020 APPL#: PA-2000063 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE: 2608 <br /> MASTER PLAN(MP) <br /> COMPLETE&SUBMIT BY: Fri, August 21, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 17400 W BETHANY RD,TRACY APN: 20915029 <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:AlAleal.;�, wi! &�.r /ems -�. �.0 Public Sewer:IMAV p - ";i' s.K <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> AIL- <br /> I recommend: Approval Denial ❑ Continuance Inspector: 44,4 <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Report? Correct LAND USE#? N <br /> All Check Off List; p <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 05,2020 <br />
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