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SR0084105
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084105
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Entry Properties
Last modified
12/10/2021 12:13:38 PM
Creation date
12/10/2021 11:57:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084105
PE
4222
STREET_NUMBER
10283
Direction
E
STREET_NAME
BRITTANY
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00707049
ENTERED_DATE
8/19/2021 12:00:00 AM
SITE_LOCATION
10283 E BRITTANY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209)48 Far: (209) 464-0138 Web: www.sjgov.org/ehd <br />PE 1116 <br />` ON TEST RATE <br />T Test Hole # 1 —� <br />- Parcel: � Dismefer 4 in Depth• 4 l in <br />TEST CERTIFIED BY: <br />OBSERVEDBY(RENS}: in <br />r <br />[HD 42 03 RFV 11/2/p9 • <br />AC0.-m O <br />:qs aOat <br />DEPTH TO FIRST WATER: N Ft <br />RECO (ENDED SEPTIC AREA: min/in <br />Pho ` Cl - I --- I Date t3 1ti1 <br />Phone: ' Date <br />Phone Date <br />FERC TEST RATE FORN <br />
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