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SR0082514
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082514
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Entry Properties
Last modified
1/20/2021 5:03:55 PM
Creation date
10/27/2020 3:09:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082514
PE
4222
STREET_NUMBER
9401
Direction
S
STREET_NAME
BIEDERMANN
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
20519021
ENTERED_DATE
8/26/2020 12:00:00 AM
SITE_LOCATION
9401 S BIEDERMANN AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Site address: 4901 S. Biedermann Ave <br /> ARa�E <br /> I\\^ Telephone:(209)468-3420 Fax:(209)464-038 Web:wvnv.Sjgov.org/eh0 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: '74,Vt BII✓Dr=RM nAl F.: ^-A' CITY; <br /> OWNERNAME: I/G I-A',411/F_y DATE: 2_0 2770 <br /> APN: APPLICATION C: DEPTH TO FIRST WATER: Ft <br /> ~ SOIL TYPE: '�F✓0T�'� <br /> REMARKS: <br /> �yI LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> �I li I i I <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type De th Soil T e <br /> ( <br /> I I I <br /> Test Hole#1 x.35 Test Hole#2 <br /> Parcel: Diameter n Depth: in Parcel: I Diameter. In Depth: in <br /> I <br /> TIME RCADING WATER DROP REFILLEO TIME READING WATER DROP REFILLED <br /> r/:OJ <br /> i <br /> I <br /> PERCOLATION RATE: 16,9 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC EA: ,,,� RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:ckf-,4a-i( Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): 2ter Phone Date �� ZOO' <br /> FERC T EST RATE FORM, <br /> EHD 42-03 REV 11009 <br /> f <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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