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SU0008334
Environmental Health - Public
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SU0008334
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Last modified
5/7/2020 11:33:28 AM
Creation date
9/8/2019 12:44:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008334
PE
2690
FACILITY_NAME
PA-1000138
STREET_NUMBER
9140
Direction
N
STREET_NAME
PEZZI
STREET_TYPE
RD
City
STOCKTON
APN
08903037 39
ENTERED_DATE
7/1/2010 12:00:00 AM
SITE_LOCATION
9140 N PEZZI RD
RECEIVED_DATE
6/30/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PEZZI\9140\PA-1000138\SU0008334\APPL.PDF \MIGRATIONS\P\PEZZI\9140\PA-1000138\SU0008334\CDD OK.PDF \MIGRATIONS\P\PEZZI\9140\PA-1000138\SU0008334\EH COND.PDF
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EHD - Public
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NOTE: PULL AL4,_ _RMITS (Septic, Well, etc.) MAKE',--,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008334 , <br /> DATE RECEIVED by EHD: ,lune 30,2010 APPL#: PA-1000138 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> COMPLETE &SUBMIT BY:- A-qAP.AVLOT LINE ADJUSTMENT(LA) <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9140 N PEZZI RD, STOCKTON APN : 08903037 39 <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 /> recommend: Approval D Denial Ll Continuance Inspecto <br /> Suoervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIO�Approval: <br /> Date: j <br /> pq f1 Check(off Lfst 77777777 '777 , ! 'I'rbblread Repe cth 38 <br /> o��uy P^d«c "'i�:gStu .' We, L. � f si �.` 6. <br /> EH 06 06 Report 07201 <br /> July 01,2010 <br />
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