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SU0004463
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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11492
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2600 - Land Use Program
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SA-01-04
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SU0004463
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Entry Properties
Last modified
11/19/2024 1:58:52 PM
Creation date
9/8/2019 12:51:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004463
PE
2632
FACILITY_NAME
SA-01-04
STREET_NUMBER
11492
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
ENTERED_DATE
5/20/2004 12:00:00 AM
SITE_LOCATION
11492 N HWY 99
RECEIVED_DATE
1/22/2001 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\11492\SA-01-04\SU0004463\EH PERM.PDF
Tags
EHD - Public
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NOTE: "eU.L ALL PERMNS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# - <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY =:2 —(J/ <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: J1 � <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Al TA k r.- i Public sewage: <br /> SUMMARY OR COMMENTS: ) <br /> 0 <br /> Alt- <br /> , /S <br /> I recommend: ApprovalDenial Continuance Inspector's Signature tF7- <br /> ak9c9r****9c*3c�c�c 3cx�c*9c 9c$c 4e 9c*�k�'c�c*�'c�E is�r 4c a'c it�c is is�c�Y�cX9r*ir se�F�c*�F**9c nk***ic>c�c arc�c�F�c 9c icxaF�c�e 9c 9c*ic�k rc aY of ix*�c is isxic is is is ix ie�c is <br /> Supervisor/Lead Senior Comments: <br /> 45 <br /> ✓ � a� � o3 _ c� <br /> 6 p2 a2 ^ i <br /> 11 ' 03 00s <br /> SUPERVISORILEAD SENIOR APP VAL: <br /> OA H CHECK OFF LIST. Proofread report? correct LAND USE#? <br /> EH 06 06 Rev 1/99 <br /> Correct CONDITION(S)? Logged ire LAND USE BOOK? <br />
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