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SU0007125
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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18098
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2600 - Land Use Program
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PA-0800106
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SU0007125
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Entry Properties
Last modified
11/19/2024 3:48:15 PM
Creation date
9/9/2019 10:24:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007125
PE
2631
FACILITY_NAME
PA-0800106
STREET_NUMBER
18098
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
06903036
ENTERED_DATE
4/9/2008 12:00:00 AM
SITE_LOCATION
18098 W HWY 12
RECEIVED_DATE
4/8/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\18098\PA-0800106\SU0007125\APPL.PDF \MIGRATIONS\T\HWY 12\18098\PA-0800106\SU0007125\CDD OK.PDF \MIGRATIONS\T\HWY 12\18098\PA-0800106\SU0007125\EH COND.PDF \MIGRATIONS\T\HWY 12\18098\PA-0800106\SU0007125\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL PITS jSdptic, Weli, etc.) MAKE CIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007125 <br /> DATE RECEIVED by EHD: April 08,2008 APDL#: PA-0800106 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: T-ue, May 6, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18098 W HWY 12 , LODI APN : 06903036 <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 /> I recommend: Approval 1?t Denial ❑ Continuance � Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2Z <br /> SUPERVISOR/LEAD SENIOR Approval: ate: �j b <br /> OA fl Gheck off rest ,Correct CONDI I1fJNp5 Lo e r I A iD USE,�S) #? <br /> Praofreatl Re rte-- z <br /> { ) gg Book? <br /> 4_._ <br /> Ell 06 06 Report 97201 April 09,2008 <br />
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