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SU0013537
Environmental Health - Public
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SU0013537
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Last modified
8/17/2020 4:19:52 PM
Creation date
8/7/2020 11:07:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013537
PE
2632
FACILITY_NAME
PA-2000072
STREET_NUMBER
4343
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-
APN
13202022
ENTERED_DATE
7/24/2020 12:00:00 AM
SITE_LOCATION
4343 N WILSON WAY
RECEIVED_DATE
7/31/2020 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: SU0013537 <br /> DATE RECEIVED by EHD: July 31,2020 APPL#: PA-2000072 <br /> Referral Agency STAFF CONTACT? ALISA GOULART PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Fri, August 27, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 4343 N WILSON WAY, STOCKTON APN: 13202022 <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: Qy� , �. � Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 0 <br /> I recommend: Approval ` Denial � Continuance ❑ Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 05,2020 <br />
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