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SU0011353
Environmental Health - Public
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2600 - Land Use Program
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PA-1700097
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SU0011353
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Entry Properties
Last modified
11/20/2024 8:50:28 AM
Creation date
9/9/2019 10:28:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011353
PE
2622
FACILITY_NAME
PA-1700097
STREET_NUMBER
16255
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236-
APN
09110029
ENTERED_DATE
5/17/2017 12:00:00 AM
SITE_LOCATION
16255 E HWY 26
RECEIVED_DATE
5/5/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\APPL.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\CDD OK.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\EHD COND.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\MISC.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: SU0011353 <br /> DATE RECEIVED by EHD: May 05,2017 APPL#: PA-1700097 <br /> Referral Agency STAFF CONTACT. MEGAN E.AGUIRRE PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 6, 2077 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 16255 E HWY 26 , LINDEN APN: 09110029 <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 /> G�7�, Z9T.^/�.�'Ln+�,�nt9✓�ri/.5 .tCn%/�/7 7�Ll//7�i�kV t'IIi,�J, S��Z/GL3,� <br /> L61ltt�3u�. Tig s�rr7� //O tiiir 5 �Ba��� � 5 /1ur?zs =�i�Vie,/ <br /> ����t/�4-z��rr.�,�L�c�t�y.� .�-.�r✓.y�t�rt�tr�i�n���€r,��H� , <br /> civ <br /> I recommend: Approval Denial ❑ Con(nuance Inspec <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> • T�,��c%��ZZZ��t�.G/f�y D�✓� To Zi1�.�Z�tiS y�73�-?LjRPz� ,vrtz�.G�?�f�?i� <br /> Cr— /2.45/At'V/C—, /S e/A4A&u t/,-f7 AOni. zMC- C S�/Isat� <br /> ��Q�/.t:�l T�l�L�?J. T,yt= Z«l.��� �,�q�r���.✓�2c�i�. <br /> CIA.C; : �,� 3 a�N, RPr. -Wa� <br /> old- <br /> =7 <br /> G <br /> G\ =7"C2 <br /> nom, 1 Gl e2- &e - : .I*Z, <br /> 22,:-LC e--j a-ek) <br /> /). gyp] J <br /> S ERV�S0 /1LEAD SENIOR Approval: Date: <br /> A 11 Check Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 17,2017 <br />
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