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SU0006319
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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10954
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2600 - Land Use Program
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PA-0600607
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SU0006319
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Entry Properties
Last modified
11/19/2024 4:01:42 PM
Creation date
9/8/2019 12:32:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006319
PE
2631
FACILITY_NAME
PA-0600607
STREET_NUMBER
10954
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
APN
22803025
ENTERED_DATE
11/15/2006 12:00:00 AM
SITE_LOCATION
10954 E HWY 120
RECEIVED_DATE
11/14/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\10954\PA-0600607\SU0006319\APPL.PDF \MIGRATIONS\O\HWY 120\10954\PA-0600607\SU0006319\EH COND.PDF \MIGRATIONS\O\HWY 120\10954\PA-0600607\SU0006319\EH PERM.PDF \MIGRATIONS\O\HWY 120\10954\PA-0600607\SU0006319\CERT OC.PDF
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EHD - Public
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NOTE: PULL ALL =RMITS (Septic, Well, etc.) MAKE kzPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006319 <br /> DATE RECEIVED by EHD: November 14,2006 APPL#: PA-0600607 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 5, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 10954 E HWY 120 , MANTECA APN : 22803025 <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: 11 be, <br /> 1000, <br /> �'!/%{a)� � ,L 4c:77�r� / r '° `.�1 r��5//�D�//��'�7 �j�A,�u4/LGI. •'�- �A -/�5� il(0►,•L. �� <br /> CJ/1e. ![ w�•_ c,� ✓ �e's.�tl.� ��0. <br /> �{ ; r I•� �'��. � rt�- �.n,C o- ,era ata�� <br /> Dq - rul-A; rkms <br /> I recommend: Approval genial Continuance F-1 Inspector--'—, <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2 0 � Cad <br /> s <br /> r <br /> n _ 9 <br /> SUPERVISOR/ LEAD SENIOR Approval:' Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USI;4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 06 06 Report#7201 November 15,2006 <br />
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