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SU0013566
EnvironmentalHealth
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SU0013566
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Last modified
3/2/2021 8:51:51 AM
Creation date
9/30/2020 7:57:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013566
PE
2656
FACILITY_NAME
PA-1700051
STREET_NUMBER
6800
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231-
APN
19307013
ENTERED_DATE
8/6/2020 12:00:00 AM
SITE_LOCATION
6800 S EL DORADO ST
RECEIVED_DATE
9/28/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
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: SU0013566 <br /> DATE RECEIVED by EHD: September 28,2020 APPL#: PA-1700051 <br /> Referral Agency STAFF CONTACE ALISA GOULART PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Fri, September 4, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 6800 S EL DORADO ST,FRENCH CAMP APN: 19307013 <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: ,v,,,c Public Sewer: „ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: / y <br /> w/'oo 3, q g z) <br /> —oma-- ''n -e)l, �i�w_1 ,�.�.,��'f �A 50Zm�'7)5) �J J ^ / <br /> �'<< J��P'L Z G n-�S s..�C �g K r Je ,Iwo pr 6�1s / •L� �a'L ( 7 3V 1, 7/9'1/—p 7I—,68e <br /> I recommend: Approval F-1 Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A /1 h ck Off List: Proofread Report? Correct LAND USE#? <br /> Awamok Correct CONDITION(S)? Logged in LAND USE Book? -awl <br /> EH 06 06 Report#7201 September 29,2020 <br />
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