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SR0083997
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083997
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Entry Properties
Last modified
8/10/2021 1:11:40 PM
Creation date
8/9/2021 12:21:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083997
PE
4222
FACILITY_NAME
TYRONE BARBER
STREET_NUMBER
16333
Direction
S
STREET_NAME
LAWRENCE
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22902013
ENTERED_DATE
7/27/2021 12:00:00 AM
SITE_LOCATION
16333 S LAWRENCE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Address: 16333 S. Lawrence Road, Escalon ID: SR0083997 <br /> i 1Zclrr: <br /> ADDRESS OR LOCATION:� �3� .+AMY . Wgr'NeF ()A 1) <br /> OWNER NAME' . . .— DATE: 3,2. 2-O Z-� <br /> APN: Z9'RJ ZO I i APPLICATION S: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: AID 6-fANDIN4 INAMR Ar. - <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i- <br /> -� -� -1 <br /> I I I F <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil T pie I Depth I Soil T e De in Soil Type De thi Soil T e De th Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: 1 3 Diameter. n De the in Parcel: Diameter. in De pthe in <br /> TIME READING WATER DROP REFILLED <br /> :O <br /> TIME READING WATER DP <br /> O S <br /> 3S 31 n <br /> REFILLED <br /> o, <br /> v a�. <br /> %r•os aI � -2" <br /> PERCOLATION RATE: <- min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: E!'o RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: a0 9^4Oz-I/Q Date <br /> TEST CERTIFIED BY: Phone: Date ', / <br /> OBSERVED BY(RENS): Phone W`7-W�-31K Date —30'wy <br /> IllTEST RATE FOR!d <br /> EHD 42.03 REV I V2109 <br /> r <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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