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SU0003175
EnvironmentalHealth
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2600 - Land Use Program
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SA-92-09
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SU0003175
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Entry Properties
Last modified
6/14/2022 6:55:35 PM
Creation date
6/7/2022 9:34:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003175
PE
2633
FACILITY_NAME
SA-92-09
STREET_NUMBER
889
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
889 E ROTH RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> J <br /> 1 • SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes No_. <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes Na Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water tarsen: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE, & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . ZLI�_ MOSQUITQ OR VMO M) I <br /> State possible vector potentiFtl & necessary control : <br /> 5 . TOILET/BATH FACUTTES, <br /> No . & location existing: _ Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HIST�x <br /> 7 . GENERAL SA1111A ' ON <br /> State any problems not previously noted: _ <br /> 8 . POPULATION DEiJi <br /> Appx. No . People per eq. mi . <br />
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