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SR0082369
EnvironmentalHealth
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EDWARDS
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082369
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Entry Properties
Last modified
8/20/2020 2:16:53 PM
Creation date
8/20/2020 1:34:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082369
PE
4222
STREET_NUMBER
30611
Direction
E
STREET_NAME
EDWARDS
STREET_TYPE
AVE
City
OAKDALE
Zip
95361
APN
20726052
ENTERED_DATE
7/24/2020 12:00:00 AM
SITE_LOCATION
30611 E EDWARDS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Site address: 30611 E. Edwards Ave RECORD ID: SR0082369 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 30(,11 L LUIVAT9w AVL ,CTy; L•trV-BALE- <br /> OWNERNAME. CCX DATE: '7 &07-0 <br /> AMC 20-1- 7 4 0--1 1 APPLICATION a: 2,3(c 9 DEPTH TO FIRST WATER: FI <br /> SOIL TYPE Jh r/r- L C . <br /> REMARKS: O�er�'I< rLLal/w isle -fou., IkA ,,,,6, ioj k <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH - + - PERCOLATION TEST SKETCH l l' <br /> AIV DLL PVC PII'P. vCJ nu PVC PINY �I <br /> 4-LV DIA SOS.BORING I I I I 4.114DIA.SOB.NORR:G <br /> 1.3�{ <br /> 2G —1�' 6.00 <br /> Y,Oj_ Y.1� L 5.53-5.Cl <br /> RFJILLRFIGIrt _ �f"'�i�RE1na.lo-�ctrt _.—. <br /> — _ ; <br /> I I I -- I II 1I I <br /> SOIL PROFILE OFREQU EO <br /> 000 1 SOi TO <br /> Depth Soil Type I Depth I Soil Type I Depth '_Soil Type I De th Soil T <br /> Z5 <br /> Teat Hole it 1 S a o Test Hole S 2 NA. <br /> Parcel: I I Diameter: in I Dept-3.Lid Parcel: I I Diameter: If in 1 DdPth: b.f <br /> TINE flEiJ'u(i WATT,D...- REPXl1) TIu= <br /> q 00 9:00 5,` <br /> 30 1 3.74 fl:3 5. KZ <br /> woo 1?). '014 10:03 5.9 I 1 5.561 <br /> I '30 15.71 1 '0 IU: S.ga 5.62 I <br /> 11:0 13164 .0_ 1103 B •Z6 5.63 <br /> f 1 30 3. o3 11:31 5 ? <br /> IZ:oU 3.11 '02 2'.03 <br /> 1210 3. .03 12.3_ �. 3 <br /> 1:00 3.' ,01 1'09 <br /> PERCOLATION RATE: minlin PERCOLATION RATE:_ (Q_minlin N <br /> RECOMMENDED SEPTIC AREA:— RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY:_ Phone:(`LO� 369-0375 Date <br /> TEST CERTIFIED BY: _ _ Phone:_______-_ Date_- -.-- <br /> OBSERVED Phone A2 R it t'" M Date <br /> GD12.03REV 11MOT ----- PERC TEST RATE FORM <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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