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SU0016218
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-2400069
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SU0016218
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Entry Properties
Last modified
6/17/2024 2:42:11 PM
Creation date
4/17/2024 9:44:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0016218
PE
2660
FACILITY_NAME
PA-2400069
STREET_NUMBER
5491
Direction
W
STREET_NAME
F
STREET_TYPE
ST
City
TRACY
Zip
95304
APN
25008022
ENTERED_DATE
4/9/2024 12:00:00 AM
SITE_LOCATION
5491 W F ST
RECEIVED_DATE
4/16/2024 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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COMMUNITY DEVELOPMENT DEPARTMENT <br /> � = f SAN JOAQUIN <br /> i <br /> WAIVER; `_: : _ COUNTY <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> ❑ ❑ <br /> Private Existing ell New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Sewer : <br /> El El <br /> Private Existing Septi System New Septic System Septic System Replacement <br /> ❑ ❑ ❑ <br /> Description of process Volume of process wastewater: Method of disposal : <br /> If the project will result in process wastewater: <br /> wastewater provide the following <br /> information : <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain : <br /> Private Existing On -site Retention Pond New On -site Retention Pond Natural Drai age <br /> ❑ ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Providg.,rDistance to School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road /Street Name R . O . W . Width Pavement Width Curb /Gutter Sidewalks <br /> Yes No ❑ Yes [/No ❑ <br /> Yes E4o ❑ Yes ZNo ❑ <br /> Page 2 of 5 <br /> 10/31 /2023 <br />
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