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SR0084364
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084364
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Entry Properties
Last modified
1/26/2022 1:21:51 PM
Creation date
1/26/2022 12:56:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084364
PE
4222
STREET_NUMBER
23702
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00734001
ENTERED_DATE
10/18/2021 12:00:00 AM
SITE_LOCATION
23702 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Site Address: 237O2NBruoUaRd, AoampoCA8522O Record ID: SROO843G4 <br />Date: 11/19/2021 <br />PHOTO # I Percolation test holes #3 and #4 <br />CA 9�2 <br />Avenue Stockt Web hd <br />eptorTe: (209) 46B-3420 Fax: <br />EST RATE <br />ADDRESS OR L <br />0:01�11A.E' APP CATION 0' <br />� <br />---- <br />_ <br />"��~ -^�~----�' T <br />REMARKS:____ <br />__ <br />LOCATION OF TEST HOIr� i--' <br />Paroel: Diameter <br />WATER DROP REF -ED <br />T I READING <br />IME <br />WATER DROP <br />REFILLED <br />1-4111 <br />Lt. IT <br />ao <br />TION I E: .7,9 minlin <br />PERCOLATION RATE: <br />57, <br />=%6 —mintin <br />MENDED SEPTIC: A <br />RECOMMENDED SEPTIC AREA: <br />RTIFIED BY: <br />Phonei <br />Date <br />PERC TEST RATC FORM <br />Francisco Garcia Ruiz, Environmental Health Specialist Trainee <br />Page 1 of 2 <br />
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