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SU0005751
Environmental Health - Public
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2600 - Land Use Program
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SU0005751
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Entry Properties
Last modified
5/7/2020 11:31:44 AM
Creation date
9/9/2019 10:52:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005751
PE
2633
FACILITY_NAME
PA-0500729
STREET_NUMBER
4000
Direction
W
STREET_NAME
UNDINE
STREET_TYPE
RD
City
STOCKTON
APN
19107017
ENTERED_DATE
11/3/2005 12:00:00 AM
SITE_LOCATION
4000 W UNDINE RD
RECEIVED_DATE
1/24/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\U\UNDINE\4000\PA-0500729\SU0005751\APPL.PDF \MIGRATIONS\U\UNDINE\4000\PA-0500729\SU0005751\CDD OK.PDF \MIGRATIONS\U\UNDINE\4000\PA-0500729\SU0005751\EH COND.PDF \MIGRATIONS\U\UNDINE\4000\PA-0500729\SU0005751\CORRESPOND.PDF
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EHD - Public
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NOTE: PULL ALL _RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPOR'r RECORD ID: SU0005751 <br /> DATE RECEIVED by EHD: November 01,2005 APPL 4: PA-0500729 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: .Wed, November 9, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 4028 W UNDINE RD, STOCKTON APN : 19107017 <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: S 17L l' 7 M- to te r, <br /> a ` <br /> 40, <br /> 40 Z53 8 <br /> I recommend: Approval °❑ Denial o tinuance Inspector: <br /> + � sl use <br /> � <br /> Supervisor/Lead Senior COMMENTS: ,�f� s <br /> n h A11f <br /> 64> <br /> (Y14 d/111�i nl r� r� ' 1 .� r .5"d. I I/N - G <br /> 61 4�A I V <br /> T I I D 41/ �l v�C� �k cSa l --2 4 `' k� / [A,,( <br /> ' c / <br /> SUPERVISOR 1 LEAD SENIOR Approval: J) <br /> 1 pal !!.Check Off Lrst . <br /> % v <br /> EH 06 06 Report#7201 November 03,2005 <br />
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