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SR0080311
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080311
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Entry Properties
Last modified
4/11/2019 11:39:58 AM
Creation date
4/11/2019 8:49:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080311
PE
4222
STREET_NUMBER
4664
Direction
E
STREET_NAME
CLARKSDALE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01709047
ENTERED_DATE
3/11/2019 12:00:00 AM
SITE_LOCATION
4664 E CLARKSDALE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Tags
EHD - Public
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Site Address: 4664 E. CLARKSDALE RD Record ID SR0080311 <br /> Date: 3/13/2019 ' <br /> C:ru �� IRONME NTAL HEALTN DEPARTMENT <br /> •/ 600 East Main Street,Stockton,CA 96202-3029 <br /> 'jam'• TaNphonr(209)468-3420 F:(209)464-0138 Web:—sig orglehC <br /> PERCOLATION TEST RATE <br /> 0H'NERSSOR IOCATONi- <br /> (fO R <br /> Ga-ATmx-s r {t_E Z.- <br /> ctn. <br /> I 1PN: NM1E: CAL'- Pv F,.l1A c.o.yGEMTTthTE DATE <br /> ISOI(, -010- EPTH TO FIRST W ATER. Ft <br /> PE <br /> � REMARKS: <br /> LOCATION OF TEST HOLES(SHow wEus AHo sr8uc7uRES) <br /> I <br /> PERCOLATION TEST SKETCH PERCOLALION TEST SKETCH <br /> ?-MDI.\PVPPIP6' 1. - <br /> --I 4-W DIA.SOLI.BORING <br /> IIIA,v Hl.ItrlRl`:ti _ <br /> 3 1.7 <br /> T--: <br /> IR1iF11.L liF7Gi rl, ,. - _. '1<Lrui imi,;in <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth I Soil T De I Denth I Soil Type I De th ISoil Ty e <br /> Test Hole#1 Test Hole#2 <br /> Parcel J Diameter: Lf in Depth: Parcel: Diameter: in De th <br /> ,I <br /> T,,e READING INATeF,Q or RFI-,u TiIA- Rr-,civ'. 'Nb i--:Dura. R—r.._ 4- <br /> 71 <br /> �. 3, l �J I Lt <br /> 3 S Z"' 3,,F. <br /> �•�IcId �r��T�.. <br /> TION RATE: ' min/in PERCOLATION RATE: _minlin <br /> DED SEPTIC AREA.---------- RECOMMENDED SEPTIC AREA: _ <br /> MED BY: Phone: ' J` i - 1--2/fjo Date -1 1 `t I <br /> D BY: ---- Phone: - - — Date _ <br /> REHS): 1 /„r ____ PhonemicLf��� Date 4_ <br /> z�_i z ------- <br /> PERC TEST RATE FORUd <br /> Naseem Ahmed, Registered Environmental Health Specialist Page 1 of 1 <br />
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