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SU0003901_SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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28567
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2600 - Land Use Program
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PA-0300602
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SU0003901_SSNL
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Entry Properties
Last modified
11/19/2024 3:59:59 PM
Creation date
9/8/2019 12:34:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003901
PE
2622
FACILITY_NAME
PA-0300602
STREET_NUMBER
28567
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
28567 E HWY 120
RECEIVED_DATE
11/21/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\28567\PA-0300602\SU0003901\SS STDY.PDF
Tags
EHD - Public
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ADDRESS OR LOCATION: 28567 State Route 120 APN: 229-170-37 <br /> OWNER: Gerard Van de Pol DATE: II <br /> APPLICATION #: PA-03-602 DEPTH TO FIRST WATER: ft SOIL TYPE: nn ��tt <br /> REMARKS: Parcel 2 1 t ULt t !0 �U 15 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ,t <br /> (0, <br /> v <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth I Soil Type Depth Soil Type Depth Soil Type Depth Soil Type- Depth Soil Type <br /> ri <br /> 1 E p&sl <br /> NMR TEST HOLE#1 DIAMETER: In DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: }�Q1 <br /> Y. <br /> WATER <br /> ` TIME READING DROP REFFILLED TIME READING ATTER REFFILLED <br /> DROP <br /> c1 I� � o � <br /> I � <br /> i I I v 11 O a :, l <br /> _ S <br /> I os{ <br /> PERCOLATION RATE: �^'� '� t'L� min/in PERCOLATION RATE: - - - min/in <br /> L RECOMMENDED SEPTIC AREA' , - RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 'i,'.l '� Phone: ' CF' -�7 � Dater <br /> __ .. <br /> TEST CERiFIED BY: Phone: (Date: <br /> i <br /> OBSERVED BY( S): �''� Phone: �� 3'��� Date: <br /> EHD 42-02-003 PERC TEST RATE FORM c <br /> REVISED 5/7/0'_' <br /> L <br />
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