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SU0012306
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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20679
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2600 - Land Use Program
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PA-1900083
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SU0012306
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Entry Properties
Last modified
11/19/2024 4:01:46 PM
Creation date
9/8/2019 12:34:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012306
PE
2631
FACILITY_NAME
PA-1900083
STREET_NUMBER
20679
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
20508004
ENTERED_DATE
4/30/2019 12:00:00 AM
SITE_LOCATION
20679 E HWY 120
RECEIVED_DATE
6/3/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\20679\PA-1900083\SU0012306\APPL.PDF \MIGRATIONS\O\HWY 120\20679\PA-1900083\SU0012306\EH COND.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012306 <br /> DATE RECEIVED by EHD: June 03,2019 APPL#: PA-1900083 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 27, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 20679 E HWY 120 , ESCALON APN : 20508004 <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.... A/ <br /> Public Water: A/0(/IQ, Public Sewer: Mo viz- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ��-- 1r <br /> �P IrZ1/IQit✓• � m)1u �,er'�� A,,� �? <br /> �e 4 c : L-,o��p-d -� e r l�cou ae <br /> DI- <br /> 1 sa,`d C6 4't 0ow"04 S Z s <br /> -Oh( I SA;A hz Sv I"bj-f'e.d. fln d�'�2.zJD- r t 10-iVt.- 4)k- Sk"A- 11 win e-� <br /> wn3�el ku. sc,l�a.a2 -E�I'e i� �.r 04-j. So IA*,t- <br /> e <br /> �roC.�CLd � a u <br /> te <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/ LEAD SENIOR Approval: � Date: <br /> All h ck ff List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EI1 06 06 Hcpoa x7201 June 07,2019 <br />
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