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•r yv <br /> + NOTE: PULL ALL EMITS (Septic, Well, etc.) MAKE bC61ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006456 <br /> DATE RECEIVED by EHD: February-26,2007 APDL#: PA-0600642 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Fri, March 16, 2007 <br /> Assigned to : EE0007380 SHIH <br /> SITE ADDRESS: 18353 W GRANTLINE RD, TRACY APN : 209450014 15 <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 Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial F� Continuance ❑ Inspector: <br /> Signature <br /> i <br /> Supervisor/Lead Senior COMMENTS: <br /> t <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> w� Proofreadhey Off L`fst <br /> EH 06 06 Report 07201 March 01,2007 <br />