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SU0004627
EnvironmentalHealth
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2600 - Land Use Program
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PA-0400488
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SU0004627
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Last modified
11/19/2024 3:48:12 PM
Creation date
9/9/2019 10:23:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004627
PE
2622
FACILITY_NAME
PA-0400488
STREET_NUMBER
11456
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
02506003
ENTERED_DATE
9/2/2004 12:00:00 AM
SITE_LOCATION
11456 W HWY 12
RECEIVED_DATE
9/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\11456\PA-0400488\SU0004627\MISC.PDF
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 'O ppUfry._CO <br /> SAN JOAQUIN COUNTY <br /> a Donna K.Heran,R.E.H.S. Unit Supervisors <br /> " T Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> AI Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> • C'gr1i�;P • Program Manager Telephone: 209 468-3420 Douglas W.Wilson,R.E.H.S.one: . <br /> F oa Laurie A.Cotulla,R.E.H.S. p ( ) � <br /> Program Manager Fax: (209) 464-0138 Robert McC ellon,R E,H.S. <br /> D Marlr Barcellos,R.E.H.S. <br /> cc <br /> E <br /> September 14, 2004 f 7 �vE� <br /> SSP 2 o 2004 <br /> TO: San Joaquin County Community De el pment Department ��mmunity DevElopmenf p <br /> FROM: San Joaquin County <br /> Environmental Health Department <br /> CONTACT PERSON: Raymond Borges, Lead Senior R.E.H.S., R.D.I. <br /> PHONE NUMBER: (209) 468-3284 <br /> RE: PA-04-488 (MS),Attention: Kathy Allen <br /> 11456 West State Route 12 Highway, Lodi <br /> The San Joaquin County Development Title Requirements listed below have been identified as <br /> pertinent to this project. Other requirements may also apply. These requirements cannot be <br /> modified. <br /> A. Environmental Health Department requires a soil suitability study indicating that the area is <br /> suitable for septic tank usage. This must be performed prior to recordation of Parcel Map <br /> and/or Certificate of Compliance approval (San Joaquin County Development Title, Section <br /> 9-1105.2(d)). A review fee of$186.00 must be paid at time of submittal to Environmental <br /> Health Department. <br /> The sewage disposal system shall comply with the on site sewage standards of San Joaquin <br /> County prior to approval. A percolation test that meets absorption rates of the manual of <br /> septic tank practice or E.P.A. Design Manual for onsite wastewater treatment and disposal <br /> system is required for each parcel. A permit fee of$93.00 per percolation hole is required. <br /> B. The existing private water wells shall be tested for the chemical Dibromochloropropane <br /> (DBCP) and nitrates prior to recordation of the Parcel Map and/or Certificate of Compliance <br /> approval. Samples are to be taken and analyzed by a State-approved laboratory (San Joaquin <br /> County Development Title, Section 9-1115.7). <br /> C. The well must be repaired under permit and inspection by the Environmental Health <br /> Department(San Joaquin County Development Title, Section 9-1115.4(e)) as follows: <br /> 1. Installing a Chlorination plug sanitary seal <br /> 2. Install cement surface seal around the well casing to protect the well casing sufficiently <br /> and the integrity of well grout. <br /> Page 1 of 2 <br />
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