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SU0003419
Environmental Health - Public
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SU0003419
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Last modified
12/10/2019 6:54:26 PM
Creation date
12/10/2019 4:31:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003419
PE
2631
FACILITY_NAME
PA-0400152
STREET_NUMBER
2605
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
APN
11921009
ENTERED_DATE
4/15/2004 12:00:00 AM
SITE_LOCATION
2605 E WATERLOO RD
RECEIVED_DATE
4/13/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
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: SU0003419 <br /> DATE RECEIVED by EHD: April 13,2004 APPL#: PA-04-152 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, April 28, 2004 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2605 E WATERLOO RD, STOCKTON APN : 11921009 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> • �u����� sr`/.�� c'r✓L -` cr.�r��(�J.�zH�/�-T���7i�i� .3u��r� �i►�e���sr <br /> • Ci)//J/l��ici;'¢,�z�s Csr-�oua�).c�ri�>A78�f,�c� . 1.�.��c�'���m�s o�/�7 s�� <br /> A D;6 ZD;os' iSd <br /> I recommend: Approval Denial Continuance Inspector: <br /> - <br /> signature-Supervisor/Lead Senior COMMENTS: <br /> { (. <br /> SUPERVISOR/LEAD SENIOR Approval: , ' {/,�1 Date: <br /> t�� <br /> k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 April 16,2004 <br />
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