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SU0011569
Environmental Health - Public
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SU0011569
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Last modified
5/7/2020 11:35:16 AM
Creation date
9/4/2019 6:42:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011569
PE
2625
FACILITY_NAME
PA-1700253
STREET_NUMBER
3919
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20103014
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
3919 E FRENCH CAMP RD
RECEIVED_DATE
11/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FRENCH CAMP\3919\PA-1700253\SU0011569\APPL.PDF \MIGRATIONS\F\FRENCH CAMP\3919\PA-1700253\SU0011569\CDD OK.PDF \MIGRATIONS\F\FRENCH CAMP\3919\PA-1700253\SU0011569\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: SU0011569 <br /> DATE RECEIVED by EHD: November 03,2017 APPL#: PA-1700253 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE &SUBMIT BY: Mon, Novembee 13, 2017 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 3919 E FRENCH CAMP RD, MANTECA APN : 20103014 <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: 1`crqL Public Sewer: Ab.0, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval 9 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> SUnervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 06,2017 <br />
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