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SU0012467
Environmental Health - Public
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SU0012467
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Last modified
11/18/2019 2:25:21 PM
Creation date
11/18/2019 1:59:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012467
PE
2605
FACILITY_NAME
PA-1900177
STREET_NUMBER
10450
Direction
W
STREET_NAME
MCDONALD
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
13106001
ENTERED_DATE
7/30/2019 12:00:00 AM
SITE_LOCATION
10450 W MCDONALD RD
RECEIVED_DATE
8/26/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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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: SU0012467 <br /> DATE RECEIVED by EHD: August 26,2019 APPL#: PA-1900177 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2605 <br /> EXCAVATION-QUARRY(QX) <br /> COMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 10450 W MCDONALD RD, STOCKTON APN : 13106001 <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: Ab,,_ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: e �j 1 <br /> . d'F±'!�.L__L'^✓_�1/ �. Q/i) i <br /> &4e- Jvn.� ; se, SArelZuG7. <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Sen?o:.Q-0/TM'7NTc. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 27,2019 <br />
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