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SU0011623
Environmental Health - Public
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SU0011623
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Last modified
5/7/2020 11:35:18 AM
Creation date
9/9/2019 10:14:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011623
PE
2631
FACILITY_NAME
PA-1700294
STREET_NUMBER
800
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
143627076
ENTERED_DATE
1/11/2018 12:00:00 AM
SITE_LOCATION
800 N SHAW RD
RECEIVED_DATE
1/2/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SHAW\800\PA-1700294\SU0011623\APPL.PDF \MIGRATIONS\S\SHAW\800\PA-1700294\SU0011623\CDD OK.PDF \MIGRATIONS\S\SHAW\800\PA-1700294\SU0011623\EH PERM .PDF \MIGRATIONS\S\SHAW\800\PA-1700294\SU0011623\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: SU0011623 <br /> DATE RECEIVED by EHD: January 02,2018 APPL#: PA-1700294 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, January 76, 2078 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 800 N SHAW RD, STOCKTON APN : 14 6 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water sup) ' <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, lot <br /> of house, wind direction, etc.... <br /> Public Water: �Gjl Gl/ Ol-� 1� Public Sewer: <br /> 'game of Purvey r Name of ystem <br /> SUMMARY OR COMMENTS: /n t ! �, 6U <br /> AV. ldo . opE, 01,02 /1 S <br /> 5 wA jd r A <br /> v'y . r s c lrr4s M n r,C4 <br /> -46 r- -ew a - / ^ ; I --5 a cI n <br /> lr rCJ 6 d a- <br /> �Q ?S 110 I..)Pu f1 <br /> I recommend: Approval ® Denial F-1 Continuance ❑ Inspector: <br /> $IEila re <br /> Supervisor/Lead Senior COMMENTS: <br /> v20 <br /> & L56�?—,F- 2K--6t ( l <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proot}ead Report'? .Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 11,2018 <br />
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