My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0082522
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CAREY
>
8623
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0082522
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/27/2020 3:29:47 PM
Creation date
10/27/2020 3:09:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082522
PE
4222
STREET_NUMBER
8623
Direction
N
STREET_NAME
CAREY
STREET_TYPE
CT
City
STOCKTON
Zip
95212
APN
08556002
ENTERED_DATE
8/27/2020 12:00:00 AM
SITE_LOCATION
8623 N CAREY CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Site address: 8623 Carey Ct RECORD ID: SR0082522 <br /> a low <br /> 7-- <br /> . Lin"vusatwE .t <br /> - ui .,.,,....•o ran� ..._. --- --- —• -... - - <br /> • —•y�.u� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton, ;v 95205-6232 <br /> AgOV <br /> Telephone:(209)468-3420 Fax:(209)464-0'138 Web:v+wwsjgov.org/ehd <br /> �/ ]22 �I_ PERCOLATION TEST RATE <br /> 'tJ6/iJ �C�" G� CITY: S'�GRnT'��'\ <br /> ADDRESS OR LOCATION: - DATE: a I0 7 <br /> J n�•tn0.lA,0.n In R�ti+t�JJt Ft <br /> OWNER NAME: vvD GyZZ DEPTH TO FIRST WATER: <br /> ..:. .. APN:—$�i' 0 D <br /> APPLICATION M S t� <br /> SOILTYPE `1 n /G n _ 3' 40'4- 6G`'} so•l <br /> - - REMARKS: <br /> .� <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> P(PLOUrroM rF515tiRn, 1•oururr WC Pqe _ <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil T e De th Soil T e De 4 Sotl T e De th Soil Type- De th Soil T e <br /> — ._ Test Hole#1 Test Hole#_2 <br /> Parcel: Diameter: in De the 3.4L Parcel. I Diameter. in De Ih: <br /> TIME READING WATER D - JENREFILLED rT'3 <br /> G WATER DROP-_ �REFILLED <br /> I.yZ,dao 6y _ . I I __I.OB ,� ot130 4. 4 0�uO 7v ►�y 0606 — ,-68_ ( �i7 <br /> 1 6o <br /> PERCOLATION RATE: 0 minlin PERCOLATION RATE: y.55 minlin <br /> RECOMMENDED SEPTIC AR✓FA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY. �JJ� t ur Phone. 7. q 30 ()3:f5Date 9 l0 20 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS) w` (17Phone Date -/� �Oza <br /> EHD 42-03 REV 1111109 <br /> PERC TEST RATE FORM <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
The URL can be used to link to this page
Your browser does not support the video tag.