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SU0011130 SSNL
Environmental Health - Public
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PA-1600206
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SU0011130 SSNL
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Entry Properties
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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r � <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00011066 <br /> DATE RECEIVED by EHD: September 23,2016 APPL#: PA-1600206 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, October 18, 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 populatior <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 /> ,�yt���f�,� G�sb 11�»1iJ .ts GAS L.>G� a✓>s/r�n —.erg AZe <br /> P�2E6g. l�✓r—U rrsf <br /> Ste« s-rlsrr� •A'��3n�s7c� t�th/�,2r yi�� � ,'�,cy cnr=r�1 d,��c_,�c� <br /> A /Y/IJBr.6s7/L�csr�t./sccw:t/ b T� u, �ru/� a saw 4�/��<Sl��c�� fxn <br /> AJ?hr'7- GJLCL/V>�c�c31//tCGCJ. A_ I..S71�/t�LLCPSL/lj/��l �Y <br /> r S <br /> I recommend: Approval Denial El Continuance Inspector: _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> A) // ' ///b 1 Ti/tr S6cit� 4 f9c2� ZOi4 / rs ,9r�s) 7�7 rcK7.t]vat TY� 77 <br /> P2 a &Aj� <br /> L,>) 2222•ta<(a) <br /> e) 22 '03 - &-fWGC-A/ TPA-Wt r< *-3, a'¢ I/AV711- 'PC-i'& LE <br /> 0 At-_L -SneGvlvy A4NCI!�4olta-7 ZZaCs 9 6A�t !s i-///d 110e.2 6-� /Y GCiLirZr- as ScT�/ <br /> /bpaZi/E Tifc Z791i,92 tGr,E7r�t�.ti / �2 /ltl«7s?c= <br /> 7179 2.- As A 1n <br /> yy_ <br /> SO�EAV IS6R/LEAD SENIOR Approval: Date: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> cu na fl:ss71 September 23.: <br />
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