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SU0009808 SSNL
EnvironmentalHealth
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SU0009808 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:15 AM
Creation date
9/9/2019 10:17:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009808
PE
2622
FACILITY_NAME
PA-1300176
STREET_NUMBER
19625
Direction
N
STREET_NAME
SOUTHWORTH
STREET_TYPE
RD
City
WALLACE
Zip
95254-
APN
02326001
ENTERED_DATE
10/28/2013 12:00:00 AM
SITE_LOCATION
19625 N SOUTHWORTH RD
RECEIVED_DATE
10/25/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SOUTHWORTH\19625\PA-1300176\SU0009808\SSS STDY.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 4% ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> '•� Telephone:(209)468-3420 Far_ (209)464-0138 Web=www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESSORLOCATION: ICItPZr N • 5.04J'ITI&VOFTF1 RD • CITY: LORI <br /> OWNERNAME. 5ysAr J IYArLCtvIIl /-3C.htJ K-P-Nr DATE-. I L " g- 13 <br /> APN: 0 7-$- 7-COO-OI APPLICATION 6: PA'l3 0 0"+!g DEPTH TO FIRST WATER: p <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-12N DLA.PVC PIPFI - 2-INDIA.PVC POE, <br /> IN DIA DI.4-SM.RORING _ 9-INDIA.SOD.BORING <br /> iFs, I <br /> R1LFB.LfffiGHf - REFILLFfflGEiT -- <br /> SOIL PROFILE F REOURE <br /> De th <br /> SoilType Depth Soil Type Depth 1 Soil Type Depth Soil Type 1 Depth Soil T <br /> Teat Hole#1 Test Hohi 2 <br /> Parcel: Diameter: In I Depth: Parcel: Diameter: In I De <br /> TIM= READINo WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> N <br /> IJ <br /> OO(lq b i 6 <br /> 17,co 411 Inb <br /> D <br /> 2O Z <br /> o �O <br /> 00 <br /> PERCOLATION RATE: m1WIn PERCOLATION RATE: g• y m1nAn <br /> RECOMMENDED SEPT EA:_ RECOMMENDED SEPTIC AREA: —�—� <br /> TEST PERFORMED BY: Phone: �TZ Data <br /> TEST CERTIFIED BY: _ Phone: -31 -O l I g$ _ Date ►t - 11--13 <br /> OBSERVED BY (RE ): PhoneeC { ►T�' Date <br /> EHO 12-02 REV 111T 9 FERC TEST PATE FORM <br /> Z- A: `f3/ - o•3/, - 3.9y <br />
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