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SR0082318
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082318
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Entry Properties
Last modified
9/17/2020 2:00:00 PM
Creation date
9/17/2020 12:51:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082318
PE
4222
FACILITY_NAME
4347 W CALIFORNIA AVE
STREET_NUMBER
4347
Direction
W
STREET_NAME
CALIFORNIA
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21318052
ENTERED_DATE
7/10/2020 12:00:00 AM
SITE_LOCATION
4347 W CALIFORNIA AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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M <br /> SAN JOAQUIN COUNTY <br /> VIRONMENTAL HEALTH DEPARTMENT <br /> 00 East Main Street,Stockton,CA 95202-3029 lehd <br /> .(209)468-3420 Fax:(209)464-0138 Web:wW,.s19ov.or 9 <br /> p PERCOLATION TEST RATE <br /> X134 W Lkl'4'orin Avc - CITY: Tracy <br /> ADDRESSOR LOCATION: DATE: ;Zf Z I j i O <br /> OWNER NAME' }.nt <br /> APPLICATION M: DEPTH TO FIRST WATER: Ft <br /> APN'. 267 <br /> SOIL TYPE' � <br /> REMARKS:----- <br /> AND STRUCTURES —' <br /> TEST HOLES(SHOW WELLS I <br /> LOCATION OF <br /> _� I - fl I J <br /> ff- <br /> j <br /> r ' <br /> well <br /> � - <br /> SOIL PROFILE IF REWIRED <br /> Depth Soil Type Depth Soil Type Depth Soil T e De th I Soil Type De th Soil T e 11 <br /> w <br /> I <br /> Test Hole#1Test Hole#2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in Depth: 6S in <br /> TIME REA m WATER bi O REFILLED TIME READING WATER DROP REFILLS <br /> 10 10.3 C7 1 C.it s II O'1 4% tti.11 <br /> I0sv lU:ys S S " 6:7e3 5.6 t <br /> lot civ WOO Oo A S 1 <br /> H:vo t'00lam_ 3.9 15.1 <br /> lilts <br /> • <br /> 1 2.`f ltl. <br /> 4it Y; ZA <br /> i- <br /> PERCOLATION RATE: minlin PERCOLATION RATE:_ LAI 14 <br /> RECOMMENDED SEPTIC AREA: min/in <br /> RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Lans Chroni5 t <br /> Phone: D <br /> (�U91 �Rf-SSt ae <br /> TEST CERTIFIED BY: _ �/Z 1Iz azo <br /> hone: Date <br /> OBSERVED BY(RENS):_ <br /> hone Date 7 <br /> EHD @lKamo/- P03 REV 11/2/09 <br /> PE4 TEST RATE FORM <br /> J <br /> (rNNt <br />
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