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SR0081960
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081960
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Entry Properties
Last modified
7/22/2020 11:12:10 AM
Creation date
7/22/2020 11:00:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081960
PE
4222
FACILITY_NAME
28850 S TRACY BLVD
STREET_NUMBER
28850
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95377
APN
25312053
ENTERED_DATE
4/8/2020 12:00:00 AM
SITE_LOCATION
28850 S TRACY BLVD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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b� <br /> SAN JOAQUIN COUNTY �. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 l <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> TTi k o''c'�'P <br /> 0PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: )V-A(,L 113 IV 1) —CITY: l <br /> OWNER NAME: C. J DATE: -zce <br /> APN: 22120 <br /> } VCJ APPLICATION#:5 1 V DEPTH TO FIRST WATER: \ Ft <br /> SOIL TYPE: c' t c /n�1. 2- ' =1t ���1 (�� i1E_ 1 _ -7 ) <br /> REMARKS: `�( l!`t2 . I.( � I(�I'' Jl" l ':i�t �r ` ?� f�7H� � ! c�71 "�tl <br /> OF C," r(D-1b, 0_u,c )p�.: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> t <br /> —i- -- -- — I --r 1 I �—I- <br /> - i—�1-1-1— fi 1_f-1— _ <br /> — -- — — <br /> 11 <br /> _ _ <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type <br /> hOAV '1 n I 7 ' <br /> /. <br /> 21,E 12 66 Test Hole# 1 Test Hole#2 <br /> Parcel:'J' Diameter: ko in Depth: - in Parcel; Diameter: in Depth: <br /> TIMg READING WATER DROP REFILLED TIME, RE DING WATER DROP REFILLED b16 <br /> IV <br /> 0-J I D <br /> b.� <br /> . ?A0 U4 <br /> 15 ` <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI REA- RECOMMENDED SEPTIC AREA- <br /> TEST PERFORMED BY: Phone: wD ' Date <br /> TEST CERTIFIED BY: ,,��11 Phone: Date <br /> OBSERVED BY(RENS):/Y� Phone w9_yG y Ty! Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />
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