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SU0013554
EnvironmentalHealth
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SU0013554
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Entry Properties
Last modified
3/2/2021 7:50:06 AM
Creation date
8/10/2020 12:14:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013554
PE
2622
FACILITY_NAME
PA-2000115
STREET_NUMBER
16510
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05112042, -94
ENTERED_DATE
7/30/2020 12:00:00 AM
SITE_LOCATION
16510 N LOCUST TREE RD
RECEIVED_DATE
7/29/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\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: SU0013554 <br /> DATE RECEIVED by EHD: July 29,2020 APPL#: PA-2000115 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Wed, August 19, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 16510 N LOCUST TREE RD,LODI APN: 05112042,-94 <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: o N C— Public Sewer: A10A1r-- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 11006 Lot."iT U�, mo i- _ SSLR, <br /> r SSC-V? <br /> ow o�r l S� <br /> I recommend: Approval , Denial F-1 Continuance F Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: !� <br /> Check Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> EH 06 06 Report#7201 July 30,2020 <br />
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