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SR0082504
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082504
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Entry Properties
Last modified
11/2/2020 2:19:42 PM
Creation date
11/2/2020 2:11:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082504
PE
4222
STREET_NUMBER
26901
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20911010
ENTERED_DATE
8/25/2020 12:00:00 AM
SITE_LOCATION
26901 S HANSEN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Site address: 26901 S. Hansen Rd RECORD ID: SR0082504 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT - <br /> 1868 East Hazelton Avenue.Stockton.CA 95205-6232 <br /> �`-.. '•J Telephone:(209)488-3420 Far:(209)464-0138 Web:Ym•W.Sjgov.orglehe <br /> 4ilpH'>si4v�� PERCOLATION TEST RATE <br /> ADpRElS OR LOCATION: / � , <br /> OWNER NAME DATE' <br /> wPN: Z O APPLICATION F: L7'> DEPTH T FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARK5:T��ST F!32t-E5 !aAt 1-) <br /> c <br /> TAI ATER T.4hE Ir.1 D.1 FC IIJ ege-ymQ.1'I's•n)or INGNES- <br /> LOCATION nF TEST HOLES SHOW WELLS AND 8TRUCTURE3`l n <br /> //'.o/a-�-. <br /> z is may. Ii i ` <br /> 72 A <br /> ( ! tT I <br /> „ 4ed �- <br /> 3i f i <br /> SOIL PROFILE IF REQUIRED 377 /ROr �� <br /> Dem Soil T e De th SoN T De lh Soil TI Depth S,,iType I Depth I Soil Type <br /> Test Hole#1 _ Test Hole#2 <br /> Parcel: Diameter. in D the In Percel: Dta.. in Da Ih: m <br /> TIME FiVMMG _WATER DRoqtT REr--_ TWE R—tt YWTERORO 7 _REFttIED_— <br /> • 0 2 JviS Lz•. _ ZG1z - <br /> —!L'o o O <br /> 0. <br /> s <br /> PERCOLATION RATE: minrin PERCOLATION RATE: 3/ mintin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY �.�nL St/ Phone: 4/0-5j'-ba47 Date 4 I7>� <br /> TEST CERTIFIED BY: Phone: Date�T—� <br /> OBSERVED BY(REHS): Phone Date <br /> Flip�2-0>PEV IiILl� _- -_. PERCiTEST"TE RM— <br /> IC <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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