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SU0006453
Environmental Health - Public
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SU0006453
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Last modified
12/18/2019 4:15:36 PM
Creation date
12/18/2019 2:55:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006453
PE
2631
FACILITY_NAME
PA-0700052
STREET_NUMBER
2211
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WY
City
STOCKTON
Zip
95205
APN
11736029
ENTERED_DATE
2/21/2007 12:00:00 AM
SITE_LOCATION
2211 N WILSON WY
RECEIVED_DATE
2/21/2007 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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1011� AM <br /> NOTE: PULL ALL IMMITS (Septic, Well, etc.) MAKE WPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006453 <br /> DATE RECEIVED by EHD: February 21,2007 APPL#: PA-0700052 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, March 6, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2211 N WILSON WY, STOCKTON APN : 11736029 <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 /> ee <br /> 7cc: Fz lzzl�-2 <br /> '/2:7Z G /�✓�1iu lifer 'Tt�`f�s.ee���.�itGu�?c� D%.�s 5���,Glr�GfZi I— ,SZ�r �SEs? s. <br /> I recommend: Approval © Denial Continuance Inspector <br /> Signature <br /> Sut)ervisor/Lead Senior COMMENTS: <br /> dot <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> . �. <br /> ,1�0 eck'Off L t f Pro°"freed Report? 'r `� <br /> Tf <br /> #Rmm <br /> TrWw <br /> EH 06 06 Report#7201 February 21,2007 <br />
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