My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0081309
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
F
>
FOX
>
16464
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0081309
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/11/2019 4:54:10 PM
Creation date
12/11/2019 4:33:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081309
PE
4222
FACILITY_NAME
16464 N FOX RD
STREET_NUMBER
16464
Direction
N
STREET_NAME
FOX
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05120007
ENTERED_DATE
10/22/2019 12:00:00 AM
SITE_LOCATION
16464 N FOX 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.
/
4
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 <br /> to <br /> ni O--i N D <br /> h O CLQ <br /> O N <br /> N (PI <br /> 77 Ln <br /> \ <br /> pl N <br /> v '+ O <br /> M C LD A <br /> =3 h rn <br /> < A <br /> O � S 'IJOAQUIN COUNTY O Z <br /> 3 <br /> O `F ENVIR ME L HEALTH DEPARTMENT - p <br /> 3 ;r! j 600 East in Str t,Stockton,CA 95202-3029 <br /> rD c1. 'l 7e/ephorre:(209)46& Far 09)464-0138 Web:www.sJgov.orglehd r z <br /> Q <br /> ,-r I•L�41s1� y <br /> CII PERCOLATION TEST RATE Or <br /> = ADDRESSOR LOCATION: Ilo46-I Al, Fo,< JR 1). CITY: L OA I <br /> rD <br /> LU OWNERNAME: LAt4M M,NNtMA <br /> DATE: io-ar-19 <br /> APPLICATION S: DEPTH TO RRST WATER. Ft <br /> (n SOILTYPE ijm fATr <br /> rD <br /> REMARKS: SomF M615TL ef-- AT/0•"-q <br /> n <br /> ai <br /> rt LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _ _ �- PERCOLATION TEST SKETCH <br /> 11 2-IX DU.PVC PIPE 2-N DIA.PVC PIPE, <br /> 4-N DL-\-SOIL BORNG <br /> Y LV DIA SOIL BORING <br /> (, s5 F �.. <br /> .-- <br /> 3.05 — <br /> __� - RFFU.1.{ff7GHf REFILL IU:IGFTf -- <br /> i II <br /> SOIL PROFH.E IFREQUIRED <br /> Depth Soil Type I Depth I Soil Type I De th I Soil Type I Depth I Soil Type I Depth I Soil Type <br /> -LA <br /> Test Hole#1Test Hole#2 <br /> Parcel: Diameter: n Depth: 3•u� I Parcel: Diameter: in j Depth: <br /> T,,, RFADNC WATFanRC= REFILLED TINE RFA-, -...:or't <br /> Ycam bRy - 4•as <br /> :^a q.53 .'J 3•l-,4 <br /> 00 3 '1(0 3.bo <br /> 30 3.'?j 3,4y <br /> _ij:_CC 'I "2 1> i I <br /> v •as ,14 <br /> 6 3.4q 114 3.149 <br /> o -3-si . 0 3,Sq <br /> 7.pD 3.67 .b <br /> PERCOLATION RATE:___Al•� minlin PERCOLATION RATE: _min in <br /> RECOMMENDED SEPTIC AREA:________ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: of-III jQA u- Phone:sol-60 as Date 10L -ice__ <br /> TEST CERTIFIED BY:__ Phone: Date <br /> OBSERVED BY(REHS): Phone__ _ Date <br /> EHO42-03 RLV TTR/09 PLRC TEST RATE FORM <br /> .Z7 <br /> (D <br /> n <br /> O <br /> 1 <br /> o D Q <br /> U[1 O <br /> (D O <br /> 00 <br /> F� I- <br /> O Lu <br /> h O <br /> N LO <br />
The URL can be used to link to this page
Your browser does not support the video tag.