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SR0084174
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084174
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Entry Properties
Last modified
11/22/2021 3:42:29 PM
Creation date
11/22/2021 1:44:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084174
PE
4222
STREET_NUMBER
4569
STREET_NAME
HARVEST
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01702006
ENTERED_DATE
9/2/2021 12:00:00 AM
SITE_LOCATION
4569 HARVEST RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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LLdA- <br />Telephone: (209) 468-3420 Fax: (209)'464-0138 Web: www.s' <br />!Fowr )gov org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 14 SGq Nprves�- R,� <br />OWNER NAME: Ko, 3l, pGckr. CITY:—A c,* -v, 00 <br />APN: (7 1 �. 0'r o 0 C� DATE: - Q /31Z I <br />APPLICATION M S� R 0 01 LI 17 <br />SOIL TYPE. Tp IC„ .F �.� DEPTH TO FIRST WATER: Ft <br />REMARKS: <br />LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br />l i l 1 1 <br />i-._ _ - - <br />'-- PERCOLATION TEST SKETCH �I ._ _•—:__.•.. `✓— �—_..__ `. <br />2' Obmelee PVC Pipe (_.. I PERCOlATION'TEST SKETCH — <br />i2' DI. -be Pvc Plpe — <br />2.13UO"gj <br />2.30�— ----- — <br />I - - <br />LI.3 6 - L{ . 0.1r grovN <br />_— ReRil level: - I •• __._ <br />_NueO SEPTIC AREA: <br />FORMED BY: P� <br />TIFIED BY: <br />D BY (RENS): <br />minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: (LI'036H -03 q S Date�2 <br />Phone: Date <br />Phone L\�o IO H L Date 31zA <br />PERC TEST RATE FORM <br />0 0 D <br />O v fl - <br />3 (D <br />3cD <br />(D o cn <br />r -O cn <br />.. <br />* o <br />CO cp <br />((DD N O') <br />N = <br />((DD <br />cn c <br />N � <br />CD 0 <br />D <br />3 v <br />!v 3 <br />v O <br />v <br />n <br />3 <br />Q <br />
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