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SR0083471
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083471
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Last modified
6/15/2021 2:18:18 PM
Creation date
6/15/2021 2:01:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083471
PE
4222
STREET_NUMBER
1008
Direction
N
STREET_NAME
WHITE
STREET_TYPE
LN
City
STOCKTON
Zip
95215
APN
10107030
ENTERED_DATE
3/29/2021 12:00:00 AM
SITE_LOCATION
1008 N WHITE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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PERCOLATION TEST RATE <br />4:L4:0:P <br />Telephone. 1 <br /> rri I—Raul-L-4-1 1 <br />• <br />.L. <br />PERCOIATION TEST SAITCR <br />2. DIarriabx PVC Pip. <br />(-135" <br />1 1 1 1 1 <br />Roil teak <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />I <br />PERCOLATION TEST SKETCH <br />r Man No PVC PIP. <br />L <br />0.17 gravel <br />-r— _LI <br />krcel: <br />Test Hole # 1 <br />I Diameter: 44 in Depth: 3 .35- I <br />READING <br />q q55- <br />(-1 . <br />(1-34 <br />Q 32. <br />33 <br />(-4.3(-1 <br />L-1.31 <br />q ,13 <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AR <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHD 42-03 REV 11/2/09 <br />17:56 minim n PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone:(2419 3-C Date <br />Phone: Date <br />Phone Date <br />TIME <br />erd:oo <br />1:3b <br />cloo <br />ot:30 <br />10:00 <br />I CI3o <br />1I:oo <br />11-,30 <br />WATER DROP <br />.13 <br />rg <br />.16 <br />.16 <br />REFILLED <br />L1.2.0 <br />&Lig <br />4.1.6 <br />. 2,0 <br />TIME READING WATER DROP REFILLED <br />I <br />— <br />minlir <br />Pt <br />./6 <br />PERC TEST RATE FORM <br />Page 1 of 3 Dana Afonskaia, Registered Environmental Health Specialist <br />Test Hole # 2 <br />Diameter: in Depth' <br />Site Address: 1008 N White Ln, Stockton <br />Date: 3/31/2021 <br />PHOTO #1 Percolation Test Sheet. <br />OWNER NAME: EA /1(1,1A itito"9, I e_S <br />APN: I 0 1 — 0 — 3 0 APPLICATION E: S.Q-0013q DEPTH TO FIRST WATER: <br />SOIL TYPE. F t OLlarvt <br />REMARKS: <br />01-.HL. riwrit_c <br />Depth <br />‘ir rtc,Au.racv, <br />Soil Type Depth Soil Type Depth Soil Type Depth Soil T_ype Depth Soil Type <br />0 — 3.3e c/r1.5 <br />ADDRESS OR LOCATION: I 00 S L". CITY: S 11"Dc_Alo <br />DATE: 2 /3 1 /2 I <br /> Ft <br />Record ID SR0083471
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