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SU0007193
Environmental Health - Public
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SU0007193
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Last modified
11/22/2019 2:49:18 PM
Creation date
11/22/2019 2:37:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007193
PE
2631
FACILITY_NAME
PA-0800156
STREET_NUMBER
4030
Direction
N
STREET_NAME
WILCOX
STREET_TYPE
RD
City
STOCKTON
APN
08723005
ENTERED_DATE
5/21/2008 12:00:00 AM
SITE_LOCATION
4030 N WILCOX RD
RECEIVED_DATE
5/20/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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NOTE: PULL ALL`RMITS (Septic, Well, etc.) MAKE 'PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007193 <br /> DATE RECEIVED by EHD: May 20,2008 APPL#: PA-0800156 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, June 3, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4030 N WILCOX RD, STOCKTON APN : 08723005 <br /> In cimpleting 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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I <br /> 5- <br /> . <br /> /sNEW— <br /> c�t�JS�- F �4m_ C�srel <br /> C <��f ar%�! �" _ C%!� •�/�G�L:�r�j7��Gy.CGZ.��U/[�7�/-L��1t'��"/? <br /> znll-�✓�2<x�. i� ICCC7 S�P.D �� �LQ!iC � l��ly�1�� LAY:7/ <br /> ^Exit GG <br /> I recommend: Approval Denial � Continuance El Inspector: <br /> Si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> X2-! � �✓ �;r39 <br /> ( 02 - 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND LJ SE 9? <br /> CQITCCt CONDITION(5)? Logged in LAND USE Book? - <br /> EH 06 06 Report#7201 May 21,2008 <br />
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