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SR0083647
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BUCK
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083647
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Entry Properties
Last modified
6/14/2021 3:56:02 PM
Creation date
6/14/2021 3:17:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083647
PE
4222
STREET_NUMBER
20555
Direction
N
STREET_NAME
BUCK
STREET_TYPE
RD
City
ACAMPO
Zip
95220
ENTERED_DATE
5/4/2021 12:00:00 AM
SITE_LOCATION
20555 N BUCK RD
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Site Address: 20555 N Buck Rd, Acampo CA 95220 Record ID: SR0083647 <br />Date: 5/12/2021 <br />PHOTO # 1 Percolation test. <br />Telephone:(2pg oat rla"" <br />)468-3420 Fax: (2 <br />PERCOLATION TEST RATE •. y ena - <br />ADDRESS OR LOCATION: 2 O S S�- <br />OWNER NAME: <br />SIaFrlEl I,>APNCITY: A_ t—{iw o <br />SOILO I "� 2g DATE: S <br />SOIL TYPE: TD KA —APPLICATION #: _$ R 0 O Q Z� k 1 �I2 2 I <br />Fi nJ C S1YnJ� DEPTH TO FIRST WATER: <br />REMARKS: <br />Test H_o_le_# 1 Test Hole # 2 <br />Parcel: Diameter. 4 in j De the 3 • 0 I Parcel: Diameter: in Depth <br />TIME <br />_—r <br />READING <br />WATER DROP i <br />REFILLED <br />4:30 <br />woo <br />(4.24 <br />!(:(o <br />k.50 <br />76 <br />2 <br />((:2.o <br />u.5D <br />.21 <br />�l• <br />;j —0 <br />II:go <br />11:5,6 <br />tz 0 <br />Y•y5 <br />4 <br />Li. 44 <br />u.Yg <br />2v <br />.25 <br />30 <br />2y <br />K.z4 <br />2� - <br />_ATION RATE: mmllr <br />MENDED SEPTIC AREA: <br />:RFORMED BY: <br />:RTIFIED BY: <br />/ED BY (RENS): i ' Q') <br />PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: C2) z69 ^�IL(I Date ShZ�Zt <br />Phone: Date <br />Phone '�"z'y'edZ— Date ti ll2l__?_"-�--- <br />PERCTEST RATE FORM <br />Page 1 of 2 <br />
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