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SR0081897
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HORSE SHOE
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21301
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081897
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Entry Properties
Last modified
2/23/2021 3:16:46 PM
Creation date
5/14/2020 1:47:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081897
PE
4222
STREET_NUMBER
21301
Direction
N
STREET_NAME
HORSE SHOE
STREET_TYPE
CT
City
CLEMENTS
Zip
95227
APN
01931009
ENTERED_DATE
3/16/2020 12:00:00 AM
SITE_LOCATION
21301 N HORSE SHOE CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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Site address: 21301 N. HORSESHOE CT RECORDID: SR0081897 <br /> -� 600 East Main Street,Stockton,CA 95202-3029 <br /> �o `• Teleplwne:1209)468-3420 Fax:(209)464-0138 Web:,w .sigov orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATON' Z 13C J <br /> /'J. CITY; <br /> OWNER NAME: Afl t IC L--�1�,•! DATE: <br /> APN: Cl'i j/��- c'] 5�'uz SI 5`I DEPTH TO FIRST WATER <br /> APPLICATION is <br /> SOIL TYPE._ S1l i y C:i S Nby C h�I F NE ShN7 <br /> REMARKS: <br /> i <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> n S 2-M DIA.PC'C PIPE) 2-1N DL4:PVC PI[PLY <br /> I I 4•INDIA.SOU,BORING J-IN DLa.SOIL NORINc7 <br /> t. fyl39 - 4.VA - — lo-Nz <br /> -1 -I .11-1 li <br /> 117 RPFILL i II•:I(II I'r RESILE I IElGtn' ___ - <br /> SOIL PROFILE IF REQUIRED) <br /> De th Soil T e Depth Soil T e De th 5011 T e De ih Solfe De th Soil Type <br /> a 43 S I s� �I D-3•s S I' s <br /> ;.5-10' Ia. c <br /> 10' 4- 1 F 5 <br /> Test Hole#1 Test Hole#2 <br /> In Depth: <br /> Parcel: Diameter: in Depth: 343 <br /> Parcel: I Diameter: L o I <br /> Tue READING WATEaDi, REEu_ <br /> TIME READING WATER DkO, REFILLED Time <br /> y. 1lo--ob DR J <br /> !o•.3u �{•3) 0.25 03 10-•. to pa I �I Il Iz-lpt <br /> I <br /> 1-�1e <br /> Jz 11•t7D �{,21 0. Z .0-0 p.2u 12.iS <br /> 1=D1� li•3� <br /> / . }U 41) D•IS 3'q� 1=14 IZ.33 O•fY IZo�} <br /> IZ'.Ua `'f• Ii �•l(P �-�� _ 1:2k 12-�9 o2S 12•D <br /> 3D ..f•pt OAD 2, )2- x_3(' 12.tf O.IIo 12.0$ <br /> I '•voit.I) 0•lD I.,{4 r2.23 D.II II•`19 <br /> P-30 .oD o,l 3. Ik <br /> SIF <br /> f= 121"1 <br /> 0'10 8 0�0 1 1 <br /> PERCOLATION RATE: ---_2S ----min/in PERCOLATION RATE:--S=�----=m <br /> ___ RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREAL p Z v <br /> �/�`/1� 3lrS <br /> Phone: ---- <br /> Date <br /> TEST PERFORMED BY: __---- --- Phone: ___ Date —_----_—_— <br /> TEST CERTIFIED BY: Date <br /> Phone <br /> _�,� <br /> OBSERVED BY(RENS): �s ---- PERCTESIRATEFCTW <br /> Naseem Ahmed, Registered Environmental Health Specialist <br /> w <br />
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