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SR0083648
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083648
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Entry Properties
Last modified
6/14/2021 3:56:16 PM
Creation date
6/14/2021 3:17:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083648
PE
4222
STREET_NUMBER
15766
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
ENTERED_DATE
5/4/2021 12:00:00 AM
SITE_LOCATION
15766 N DEVRIES RD
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Site Address: 15766 N Devries Rd, Lodi CA 95240 <br />Date: 5/13/2021 <br />PHOTO # 1 Percolation test. <br />1668 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wvAvsigov orgleho <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 15766 A% DCV/ZIEb pD. CITY: I-ogl <br />OWNERNAME: JALIcLyN !HA'0 DATE: CJ' 13AWZI <br />APN: 025 -1 -ID -05 APPLICATION M: 54069-361Y% DEPTH TO FIRST WATER: Ft <br />SOIL TYPE Ac fNv,(,o SA^'nY (-p ryvV� <br />REMARKS: <br />�r I w�n�L.ca <br />l._ ^RkWATnI TFSr aIaTal —, `—•- <br />r 2.00 IVC I" <br />I.q0 C <br />i <br />:3.zs5.15 <br />+ .I- <br />- __ <br />q[/ '• � ]a�rtww <br />AT•D <br />—•--• 'RaVIAT Thr SCe. a <br />r CII ^V Tb. <br />L <br />Test Hole # 1 Test Hole # 2 <br />Parcel: l Diameter: 4 in De the s,y Parcel: Diameter. in De the <br />TIMEREADING <br />WATER DROP <br />REFILLED <br />:oo <br />xat— <br />U:oo <br />br61 <br />4.IF3 <br />II:ZO <br />tl:3b <br />} <br />K.'�7• <br />23 _ <br />•2Z <br />,S <br />x(.63 <br />U'40 <br />4. <br />.26 <br />4.5 <br />lt:5o <br />�• <br />,25 <br />.53 <br />`LATION RATE: 3. S s min/in PERCOLATION RATE: minlin <br />(MENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br />ERFORMED BY: )2_e�- % Gtv Phone: (Zoq) 36q-03}5 Date 5/(3 Zt <br />ERTIFIED BY: Phone: Date <br />VEDBY(REHS): nI�(`,(Ic gl�.,a (�,�t Phone krc) blb- WC I. Date ( _ <br />REV 1P21oB FERC TEST nATE FORM <br />Record ID: SR0083648 <br />a <br />N <br />r <br />Francisco Garcia Ruiz, Environmental Health Asst. Page 1 of 2 <br />
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