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SR0082582
EnvironmentalHealth
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KINGDON
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082582
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Entry Properties
Last modified
12/28/2020 11:49:37 AM
Creation date
9/23/2020 3:02:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082582
PE
4222
STREET_NUMBER
4040
Direction
W
STREET_NAME
KINGDON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05525021
ENTERED_DATE
9/10/2020 12:00:00 AM
SITE_LOCATION
4040 W KINGDON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\fgarciaruiz
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:{209}464-0738 Web:www.sl9ov.vrglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: qO qO K,n4&n )Qd crry: I-04[ <br /> OWNER NAME: L DATE:a0Sfz� <br /> APN: 0 55-l7 5D--2- APPLICATION#: S"ay,2 5-.9Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: D .V•-1 1 to-a— — <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SIIETCH PERCOLATION TEST SKETCH <br /> 2"DMAW PVC Pipe z•DiSMOW PVC NO <br /> I .�Fr <br /> 3.I0Z — <br /> iI II <br /> L ]0.77'grawf ]O.tr WSW <br /> mw I evek 3•qt q — `•+0 ' Refill lave!: <br /> 1 1 1 MIA <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soii Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 4 -1,.5' s:l+ <br /> z,5-3.Z ' <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: I I Diameter: y in I De th 3 Z Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> g.o0 D 3.q5 _ <br /> 'T'.3v Lf,I I . I .Q d <br /> q-.00 L(,01 . P 3. q I <br /> Q 4, 0 . I <br /> l0,Do Lf .❑ . 115 3 I <br /> 10" �o 14 .0; . I`L[ 3.q1 <br /> Il :ao 4 . 06 I <br /> f 4:3o 4.0y <br /> PERCOLATION RATE: Z0.13 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:CW?)364 a -ff Date IV .;-o <br /> TEST CERTIFIED BY: Phone: 7,14 37A-01"S- Date r 4-- <br /> OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 REV 1112108 PERC TEST RATE FORM <br />
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