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SU0012019
Environmental Health - Public
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2600 - Land Use Program
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PA-1800261
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SU0012019
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Last modified
5/7/2020 11:35:36 AM
Creation date
9/5/2019 11:17:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012019
PE
2622
FACILITY_NAME
PA-1800261
STREET_NUMBER
824
Direction
S
STREET_NAME
HINKLEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
15725313
ENTERED_DATE
10/9/2018 12:00:00 AM
SITE_LOCATION
824 S HINKLEY AVE
RECEIVED_DATE
10/16/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HINKLEY\824\PA-1800261\SU0012019\APPL.PDF \MIGRATIONS\H\HINKLEY\824\PA-1800261\SU0012019\CDD OK.PDF \MIGRATIONS\H\HINKLEY\824\PA-1800261\SU0012019\EHD 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: SU0012019 <br /> DATE RECEIVED by EHD: October 16,2018 APPL#: PA-1800261 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Thu, November 1, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 824 S HINKLEY AVE, STOCKTON APN : 15725313 <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: pvk M WCZ-Lu Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: MS <br /> Co. Qk2 >e 'tc JeAry L71144,64 <br /> D a 0 IJ d <br /> C CO o1A2 <br /> r Y-OL <br /> // D c eV) d 1 <br /> Sa r A 4,yj vJ S ! L 0k -rrl Cc <br /> I recommend: Appro al ❑ Denial F-1 Continuance Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> 1 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 1l ff I i : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 17,2018 <br />
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