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SU0012669
Environmental Health - Public
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SU0012669
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Entry Properties
Last modified
1/15/2020 9:52:30 AM
Creation date
12/10/2019 10:30:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012669
PE
2631
FACILITY_NAME
PA-1900284
STREET_NUMBER
4010
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215-
APN
14333029
ENTERED_DATE
12/10/2019 12:00:00 AM
SITE_LOCATION
4010 E FREMONT ST
RECEIVED_DATE
12/9/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
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: SU0012669 <br /> DATE RECEIVED by EHD: December 09,2019 APPL#: PA-1900284 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, December 26, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 4010 E FREMONT ST, STOCKTON APN : 14333029 <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: CA , WkKK � Public Sewer: f S SSS' <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> L. -06GL&Af C-AAPJ'L! laG" <br /> I recommend: Approval F-1 Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 10,2019 <br />
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