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SU0012437
Environmental Health - Public
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SU0012437
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Last modified
5/7/2020 11:35:46 AM
Creation date
9/4/2019 6:40:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012437
PE
2660
FACILITY_NAME
PA-1800253
STREET_NUMBER
2900
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205-
APN
14342050, 14342051, 14342053
ENTERED_DATE
7/16/2019 12:00:00 AM
SITE_LOCATION
2900 E FREMONT ST
RECEIVED_DATE
7/15/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREMONT\2900\PA-1800253\SU0012437\APPL.PDF \MIGRATIONS\F\FREMONT\2900\PA-1800253\SU0012437\EH COND.PDF
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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: SU0012437 <br /> DATE RECEIVED by EHD: July 15,2019 APPL#: PA-1800253 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE & SUBMIT BY: Thu, August 8, 2019 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 2900 E FREMONT ST, STOCKTON APN : 14342050, 14342051, 14342053 <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: �� Public Sewer: <br /> Name of Purveyor ame of System <br /> SUMMARY OR COMMENTS: � <br /> 'dzZ� <br /> ra <br /> AAA1 /V-3 V a <br /> 3� <br /> 0 <br /> I recom end: Approval 'Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA1 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 16,2019 <br />
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