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SU0012063
Environmental Health - Public
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SU0012063
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Entry Properties
Last modified
5/7/2020 11:35:37 AM
Creation date
9/9/2019 11:05:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012063
PE
2631
FACILITY_NAME
PA-1800200
STREET_NUMBER
6299
Direction
E
STREET_NAME
WEST RIPON
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
22611028
ENTERED_DATE
11/13/2018 12:00:00 AM
SITE_LOCATION
6299 E WEST RIPON RD
RECEIVED_DATE
11/30/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WEST RIPON\6299\PA-1800200\SU0012063\APPL.PDF \MIGRATIONS\W\WEST RIPON\6299\PA-1800200\SU0012063\EH PERM.PDF \MIGRATIONS\W\WEST RIPON\6299\PA-1800200\SU0012063\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: SU0012063 <br /> DATE RECEIVED by EHD: November 30,2018 APPL#: PA-1800200 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, December 20, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 6299 E WEST RIPON RD, MANTECA APN : 22611028 <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: fete Public Sewer: �ltsrt� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6A4- <br /> S.4C �'S, t t�sy I :arY: O55£r .�� cv� clim•a �c- -61t wl e'+{ . "-Vt GarFlt pia+/4C <br /> / 5'fi GN�u''wl �U✓aL N/"int cSl��+�C Sr J�!/Ni �OnrOnG .�tCL} 't•X/S/+�r76•t1�Mrp Jlxr��_ <br /> r.44EA 04 40,w Ba6%-jcr, riou-a4L 1)Ol'4k a��huk�e ���ttaav st�{,� Sed 14tw - <br /> ,'/Yv se/�!,-sG �,rr►t r,� a.� �'/e^ ��txl�,�hP l,�e r <br /> l�nrvr,•-�; p <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A ll h ck ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> GI 106 06 Report#7201 December 04,2018 <br />
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