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SU0011130 SSNL
Environmental Health - Public
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SU0011130 SSNL
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Last modified
5/7/2020 11:34:58 AM
Creation date
9/9/2019 11:06:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011130
PE
2622
FACILITY_NAME
PA-1600206
STREET_NUMBER
14629
Direction
E
STREET_NAME
WILDWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
20303002
ENTERED_DATE
11/21/2016 12:00:00 AM
SITE_LOCATION
14629 E WILDWOOD RD
RECEIVED_DATE
11/18/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011130\SS_NL STUDY.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: SU0011130 <br /> DATE RECEIVED by EHD: November 18,2016 APPL#: PA-1600206 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Thu, December 1, 2016 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 14629 E WILDWOOD RD, STOCKTON APN : 20303002 <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 populatiot <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 /> IZc"cc�vr��t_.�z�_otiLs : <br /> 7 Zr? <br /> I recommend: Approval Denial1:1Continuance Inspecto • _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: ��.�,��,� <br /> Air ;' . <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Nbccmbcr 21._ <br />
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