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SR0079967
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079967
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Entry Properties
Last modified
4/24/2019 3:38:34 PM
Creation date
4/24/2019 2:31:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079967
PE
4222
STREET_NUMBER
12505
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
05132010
ENTERED_DATE
12/10/2018 12:00:00 AM
SITE_LOCATION
12505 E BRANDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
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12505 E. BRANDT RD SR0079967 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> P J. 600 East Main Street,Stockton.CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov orgrehd <br /> oa. <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /' i 1 'ice l' 6,�Al N t)T 'ill CITY Lam:._: <br /> OWNER NAME: �.'1 -/' KC[C TJC J DATE: <br /> APN' APPLICATION T / <br /> —- #: f'/} -j'✓ _ '� DEPTH TO FIRST WATER'. Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SNOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH ___ PERCOLATION"NEST SKETCH _- <br /> 2-IN DIA.PVC PIPE. I`:DIA.11% PIN, <br /> - L IN DIASu1L BORINIi ({ 1-I:DIA N,At B RI7: <br /> i - - <br /> 1 LId}lLL illIc;iil i .i L RLPILLIII.I�Ll rl _ _ __ <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 —F <br /> Parcel: J Diameter: in Depth: Parcel. Diameter: n Depth: <br /> Tr,e R—.In,.: NL-r._p�,_. Rrrm.-:i <br /> :r )I <br /> i t * ' Y <br /> it <br /> 4 <br /> f I i <br /> R ` ION RATE: --_ _--------mintin PERCOLATION RATE:_ -------minlin <br /> WN <br /> D SEPTIC AREA:— _—__----- RECOMMENDED SEPTIC AREA: ---------- <br /> ,: Date <br /> Phone: _- ='==--- <br /> EST PER ED BY: _—. :, CL —� ------ Date <br /> Phone ---_ -- <br /> -- --- <br /> TEST CERTIFIED _ ---- -- ---- Date 0�12 <br /> '(�' ---- Phone-------- <br /> (RE �: — PEHC LEST RATE F08R1 <br />
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