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SU0000077
EnvironmentalHealth
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2600 - Land Use Program
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MS-00-14
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SU0000077
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Entry Properties
Last modified
4/8/2022 5:46:41 PM
Creation date
3/29/2022 1:22:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000077
PE
2622
FACILITY_NAME
MS-00-14
STREET_NUMBER
23755
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
23755 N DEVRIES RD
RECEIVED_DATE
6/13/2000 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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. f• <br /> i <br /> 1 SERE: pV0 / Ply'''14Connection necessary: Yes . No <br /> Distance to Public Sewers: 1 with San Joaquin County Development Title #549 ? <br /> Does existing septic system comply v Slur100"4�2n <br /> Yes. No - <br /> Unknown A--- f no, explain: <br /> v <br /> Describe septic installation to be installed: <br /> WATER SUPPLY: �'v 1�� �/ No Is well proper: Yes__No_� <br /> 2. well.is water supplied by private 1. W ,3es Z <br /> State deficiency: <br /> CVW on 3 Is the permit current? Yes °- <br /> ✓ Is water/well <br /> Is well system a Publiosedause m make this ter systeni? eSell Public Water: es=No Is <br /> existing or prop No Additional information or comments: <br /> sampling current: yes__ -- <br /> GARBAGE & REFUSE: Other proposed <br /> 3. ick-u Yes_No_Service Area No.:___ <br /> Licensed scavenger p p <br /> E.10111P C1, <br /> disposal method: <br /> Potential problem(-ST <br /> hd -1V <br /> FLY MOS UITO OR VECTOR POTENTIAL: <br /> 4. control: <br /> State possible vector potential and necessary <br /> 5. <br /> TOILET/BATH FACILITIES: Additional <br /> � <br /> Number and locations existing: 21v <br /> facilities needed: <br /> 6 PREVIOUS OPERATION HISTORY: <br /> 7. <br /> GENERAL SANITATION: rNP e—PA40t sir � <br /> State any problems not previously note ��S <br /> g. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />
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