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SU0012537
Environmental Health - Public
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120 (STATE ROUTE 120)
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2600 - Land Use Program
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PA-1900082
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SU0012537
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Last modified
11/19/2024 4:01:46 PM
Creation date
11/19/2019 1:17:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012537
PE
2660
FACILITY_NAME
PA-1900082
STREET_NUMBER
20679
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
20508004
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
20679 E HWY 120
RECEIVED_DATE
9/6/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012537 <br /> DATE RECEIVED by EHD: September 06,2019 APPL#: PA-1900082 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE&SUBMIT BY: Thu, September 26, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 20679 E HWY 120 ,ESCALON APN : 20508004 <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: N&aPublic Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: mA>C ,,,,,, *e ,9 ,✓ zas=d�-�Y, r 0 G 79 E• <br /> rhC f�oGLOw+'1� JXim 7/I o . X le %..,fP/L 'G ,S!!�1��r— �YIr r "f 11L/'�. �!?�i+91/�b►v 4tlli� /��'iw�•f 7Z'Q/y. <br /> 4r- <br /> SAO <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I!Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 09,2019 <br />
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