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SU0004728
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PA-0400710
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SU0004728
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Entry Properties
Last modified
5/7/2020 11:31:09 AM
Creation date
9/9/2019 11:02:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004728
PE
2690
FACILITY_NAME
PA-0400710
STREET_NUMBER
2615
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
APN
11921008
ENTERED_DATE
12/2/2004 12:00:00 AM
SITE_LOCATION
2615 E WATERLOO RD
RECEIVED_DATE
11/30/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\2615\PA-0400710\SU0004728\APPL.PDF \MIGRATIONS\W\WATERLOO\2615\PA-0400710\SU0004728\CDD OK.PDF \MIGRATIONS\W\WATERLOO\2615\PA-0400710\SU0004728\EH COND.PDF \MIGRATIONS\W\WATERLOO\2615\PA-0400710\SU0004728\EH PERM.PDF
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EHD - Public
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NOTE: PULL'ALL PERMI1-6 (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND'USE REPORT APP#: PA-04-710(LA) <br /> SU000472K SPE 2690 <br /> EHD RECEIVED APP.REFERRAL: 11130104 COMPLETE & SUBMIT BY: �* <br /> DATE <br /> ATTN: <br /> SITE ADDRESS: 2615 EAST WATERLOO ROAD,_STOCKTON <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 a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> • ���Cry c,�1u'�1 �c'�1 ���r� �-C���s��f�-��-�Cl�tr�'>%���� <br /> b - <br /> 4 <br /> I rccommend: Approval Denial Continuance Inspector's Signatur <br /> Supervisor/Lead Senior Comments: <br /> II <br /> SUPERVISOR/LEAD SENIOR APPROVAL: 7 <br /> 11Cl ' 17 Iroo rea'�repor"1�'� lY '#7' <br /> EH 0606 Rev 1199 <br />
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