My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0081284
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PELTIER
>
10516
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0081284
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/18/2019 10:22:08 AM
Creation date
11/18/2019 10:21:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081284
PE
4222
FACILITY_NAME
10516 E PELTIER RD
STREET_NUMBER
10516
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01726030
ENTERED_DATE
10/18/2019 12:00:00 AM
SITE_LOCATION
10516 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
O h <br /> - f D D <br /> o xz <br /> m' SAN JOAQUIN COUNTY N <br /> M ` • ENVIRONMENTAL HEALTH DEPARTME Lrf <br /> p <br /> - 1868 East Hazelton Avenue,Stockton,CPI 952 F' <br /> 0 7elrph°R°:(209)488-3420 Fax:(209)484-0t38 Wab:www.eJpov.orglehd-• 0 M <br /> O r^ <br /> PERCOLATION TEST RATE 3 v <br /> rD CRY: A(,,,n,pd <br /> ADDRESS OR LOCATION: <br /> r-h DATE: Lq- toK, _ N <br /> OWNER NAME: v = <br /> = APN: f'17-Z40-11) <br /> APPLICATION t: DEPTH TO FIRST WATER: Q <br /> SOIL TYPE - rt D <br /> N d <br /> ,•-F REMARKS: 3 <br /> rn 0 <br /> (D LOCATION OF TEST HOLES show WELLS AND STRUCT JRE5 <br /> O <br /> LI <br /> N• 1 I I I I oUtiYd _ -- -- <br /> -I ; F-1 - i l" ! 'I-; , ; rTi l rT7 1--f l iT l IT <br /> r l , i l j j TI l �sr 1 1� i_ �j F <br /> (TI-I-f-1 I I I <br /> [� ❑ 1 CI i=r l 1 7 ��i i 0 1 Ci-rn� q_l I I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil T Depth I joil Type De th Soil T De h Soil T <br /> Test Hole#1 I72.3 Test Hole#2 <br /> Parcel: Diameter. 4 in De th:T.ir IM1n Parcel: Diameter. in De the in <br /> TME READING WATER DROP REFILLED TINE READING WATER DROP RMUFL UED <br /> x'30 2.S <br /> 10'..0 +ry _p 3 "' <br /> Io•.3o .oS' _ <br /> tI'.oJ S'1 2.�i1 <br /> l .Lr O•it; .1V <br /> S <br /> ,I'.SJ 3.IS 0.4j <br /> 1 :O {..lit p. 3•Ll .,�. <br /> 1 yD 5 Sc v.r�I <br /> p, minlin PERCOLATION RATE: minfin <br /> PERCOLATION RATE <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA' phone: Date Io• > -:�s <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone Date <br /> OBSERVED BY(RENS): PERC TEST RATE FORM <br /> EHD 42-03 REV"aa r. - I <br /> N <br /> r) <br /> O <br /> CL <br /> V) <br /> O'Q ''' 00 <br /> rD <br /> O_ 1%1', 00 <br />
The URL can be used to link to this page
Your browser does not support the video tag.