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SU0013465
Environmental Health - Public
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SU0013465
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Last modified
10/8/2020 8:19:53 AM
Creation date
8/13/2020 9:52:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013465
PE
2631
FACILITY_NAME
PA-2000116
STREET_NUMBER
4028
Direction
W
STREET_NAME
UNDINE
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
19107017
ENTERED_DATE
7/8/2020 12:00:00 AM
SITE_LOCATION
4028 W UNDINE RD
RECEIVED_DATE
8/4/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013465 <br /> DATE RECEIVED by EHD: August 04,2020 APPL#: PA-2000116 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, August 25, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 4028 W UNDINE RD, STOCKTON APN : 19107017 <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: ,���,y,� Public Sewer: A/�01el-, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6VT941-'NS_ <br /> I recommend: Approval L,,.`1 Denial F-1 Continuance Inspector: 1/1 <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 12,2020 <br />
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