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SR0081395
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081395
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Entry Properties
Last modified
11/26/2019 9:28:35 AM
Creation date
11/26/2019 9:26:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081395
PE
4222
STREET_NUMBER
28459
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
24808013
ENTERED_DATE
11/13/2019 12:00:00 AM
SITE_LOCATION
28459 S CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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w. <br /> 3420 Fax:(209)vu's— - <br /> I elephone:(209)463 <br /> PERCOLATION TEST RATE <br /> CITY: <br /> t V 11 h PATEN F <br /> 1,)N <br /> _f — DEPTH TO FIRST WATER <br /> APPLICATIONI <br /> N:�— <br /> — --... <br /> LOCATION OF TEST HOLES SHOW YELLS AND srRucruREs <br /> 19 <br /> 1 <br /> - i i-; A-1 <br /> I <br /> UQ <br /> i <br /> SOIL PROFILE(IF REQUIRED <br /> De th Soil T e De th Soil T e Depth Soil Type De th Soil T e De th Soil e <br /> Test Hole IF 1 I Test Hole#2 <br /> Parcel: I Diameter: in Depth: in Parcel: Diameter: in De the in <br /> �, FTIMEREADIN I WATER DROP REFILLED IMEREADING WATER DROP REFILLED <br /> -i-7 ��, O D5 <br /> i- `�. 3 I <br /> PERCOLATION RATE: r,• min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY Phone: p��s��li Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): -' Z`� Phone <br /> E42-'32f �j Date <br /> Elio REV <br /> PERC TEST RATE FORM <br /> II; ' <br />
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