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SU0010112
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1400084
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SU0010112
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Entry Properties
Last modified
5/7/2020 11:34:24 AM
Creation date
9/5/2019 10:56:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010112
PE
2631
FACILITY_NAME
PA-1400084
STREET_NUMBER
26955
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
20911009
ENTERED_DATE
6/23/2014 12:00:00 AM
SITE_LOCATION
26955 S HANSEN RD
RECEIVED_DATE
6/19/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HANSEN\26955\PA-1400084\SU0010112\APPL.PDF \MIGRATIONS\H\HANSEN\26955\PA-1400084\SU0010112\CDD OK.PDF \MIGRATIONS\H\HANSEN\26955\PA-1400084\SU0010112\EH COND.PDF \MIGRATIONS\H\HANSEN\26955\PA-1400084\SU0010112\EH PERM.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: SU0010112 <br /> DATE RECEIVED by EHD: June 19,2014 APPL#: PA-1400084 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, July 2, 2014 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26955 S HANSEN RD, TRACY APN : 20911009 <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: I Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 7/0Xz i•-,k vis I Z <br /> r <br /> 0C7 �rA�sa� 0 gal <br /> p Z : a/ O /D li✓ <br /> Y1 . J7- <br /> I recommend: Approval Denial Continuance Inspector// - `% <br /> ature" <br /> Supervisor/Lead Senior COMMENTS: <br /> H <br /> 1kl 11.ale f - 'i5S V"-" S 5 V..u, -1 Pir•'�.r <br /> Z� i`:. D ._3 4€ > CAk y�• <� ,its ��_ dl i�(.�,•tA�;:v.�,�,,�•- <br /> i 1 t t <br /> .7y <br /> (1 )a Z i,V uk t.c`1�`�� W 13 � 1�15(iP 4rOr lccy 1S5�Gi""� d� 1�P <br /> E l lr.to�dy� S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: l i <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 23,2014 <br />
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