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SU0006516
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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14210
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2600 - Land Use Program
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PA-0700170
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SU0006516
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Last modified
11/20/2024 9:09:39 AM
Creation date
9/4/2019 6:45:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006516
PE
2631
FACILITY_NAME
PA-0700170
STREET_NUMBER
14210
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
APN
13112004
ENTERED_DATE
4/17/2007 12:00:00 AM
SITE_LOCATION
14210 W HWY 4
RECEIVED_DATE
4/16/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\14210\PA-0700170\SU0006516\APPL.PDF \MIGRATIONS\F\HWY 4\14210\PA-0700170\SU0006516\CDD OK.PDF \MIGRATIONS\F\HWY 4\14210\PA-0700170\SU0006516\EH COND.PDF \MIGRATIONS\F\HWY 4\14210\PA-0700170\SU0006516\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL4's:RMITS (Septic, Well, etc.) MAKE SPIES FOAFILE <br /> LAND USE REPORT RECORD ID: SU0006L dDATE RECEIVED by EHD: April 16,2007 APPL#: PA-070 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(5A) <br /> COMPLETE&SUBMIT BY: Tue, May 8, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 14210 W HWY 4 , STOCKTON APN: 13112004 <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: IVIA <br /> Name of urveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 0 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> d <br /> SUPERVISOR/ LEAD SENIOR Approval: Dah•: • __ <br /> OA 11 Check Off List: Proofread Report? Correct LAND IiSE#? <br /> Correct CONDITION(S)? Logged in LAND USE nook? <br /> ril 06 06 Report#7201 - <br />
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