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SR0079307
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079307
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Entry Properties
Last modified
9/12/2018 11:38:07 AM
Creation date
9/12/2018 11:23:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079307
PE
4222
STREET_NUMBER
27945
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
24808004
ENTERED_DATE
6/21/2018 12:00:00 AM
SITE_LOCATION
27945 S CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
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EHD - Public
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Site Address: 27945 S. CHRISMAN RD <br />Date: 7/23/2018 <br />ane ury. QUIN COUNTY <br />^F� ENVIRONMENTAL HEALTH DEPARTMENT <br />W: <br />l 600 Earl Main Street. Stockton. CA 95202-3029 <br />1"•.;:'' Telephone: (209) 468-3420 Fax: (2091464-0138 Web: www sjgov.org/?hd <br />•a•jlF. <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: o,? 7 4�41S J (' Hf' ! i rr7 Af./ f: L� CITY-. _Lzs <br />3WNERNAME: l.I "'A'. DATE: <br />\PN: .,1APPLICATIONC DEPTH TO FIRST WATER. F1 <br />:OIL TYPE <br />IEMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES( <br />PERCOLATION TEST SKETCH _ PERCOLATION TEST SKETCH <br />:0 12 -IN DLLP\'CPWF 2 -IN DLA. PVC PIPE, �- <br />J- IN DLA. SOIL PORING 4 -IN DIA. SOU. BOMG <br />3 b- T_1 3.i5- <br />exnT.IIFR�Irr 3.�55---Id�u.ruElGtTr 3 75 <br />Test Hole 91 Test Hole # 2 <br />'aToel: ) Diameter: L inDepth: 3.05 Parcel: Diameter: in De the ,2S <br />� 0--MME.r,LL,NDED Sn R'S'---------minlin <br />COEPTIC AREA:_ _ <br />3T PERFORMED BY: — L <br />ST CERTIFIED BY: __ _&�� f _ <br />SERVED BY (RENS): p,— <br />12-03 REV 11rW9 -- <br />TIME <br />READING <br />WATER DFOP <br />REFIT i_En <br />10;434N3 <br />�yy� <br />j._J, <br />' <br />�/� <br />T 3 <br />L d <br />3, (o f-7 <br />MEM <br />til ==� <br />• <br />W =��M_ <br />r o' S'3 <br />4 -!3_ <br />'1 •'tit <br />3 <br />, �i <br />3.�5 <br />3- 4 <br />li-a3 <br />q,33 <br />9 q <br />� 0--MME.r,LL,NDED Sn R'S'---------minlin <br />COEPTIC AREA:_ _ <br />3T PERFORMED BY: — L <br />ST CERTIFIED BY: __ _&�� f _ <br />SERVED BY (RENS): p,— <br />12-03 REV 11rW9 -- <br />TIME <br />READING <br />WATER DFOP <br />REFIT i_En <br />10;434N3 <br />�yy� <br />j._J, <br />' <br />�/� <br />T 3 <br />L d <br />3, (o f-7 <br />3.76 <br />r o' S'3 <br />4 -!3_ <br />'1 •'tit <br />3 <br />, �i <br />3.�5 <br />3- 4 <br />li-a3 <br />q,33 <br />9 q <br />PERCOLATION RATE: mjnlin <br />RECOMMENDED SEPTIC AREA: __ <br />Phone: ?0 9- 6 0 $��l XD Date 7 .- _ <br />Phone: _ Dated <br />Phone- Date — ---- -- <br />PERC TESL RATE FOW <br />Record ID SR0079307 <br />Naseem Ahmed, Environmental Health Specialist Page 1 of 1 <br />
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