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SR0084577
EnvironmentalHealth
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MITCHELL
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15655
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084577
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Entry Properties
Last modified
2/4/2022 1:51:44 PM
Creation date
2/4/2022 1:42:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084577
PE
4222
FACILITY_NAME
15655 S MITCHELL RD
STREET_NUMBER
15655
Direction
S
STREET_NAME
MITCHELL
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
21806001
ENTERED_DATE
12/6/2021 12:00:00 AM
SITE_LOCATION
15655 S MITCHELL RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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a <br />L ,"A <br />ADDRESS OR LOCATION: <br />OWNER NAME:i CITY <br />APN:E9 D f ii CATION #: DATE: _.� E <br />APPLI <br />SOIL TYPEZ� L 0 DEPTH TO FIRSTWATrP, <br />REMARKS: t�J� 1�1 F) I 11'A r7z <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />U, _,, <br />Test Hole # I Test Hole # 2 <br />Diameter:��i n Ie �pt h I Parcel: 4 1 in ' Depth: <br />Tf"-E <br />WATER DROP <br />REFILLED <br />P 2 <br />Date <br />Phone <br />Date <br />PERC TEST RArE <br />-7, <br />sa <br />-7 4' <br />-7: <br />.14 <br />j <br />PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC EA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):: <br />TIME <br />READING <br />WATER Dpop I REFILLED <br />P 2 <br />Date <br />Phone <br />Date <br />PERC TEST RArE <br />3. <br />j <br />PERCOLATION RATE: <br />minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: <br />Date <br />Phone <br />Date <br />PERC TEST RArE <br />C) 0 > <br />0 w <br />3 (D <br />3 (D <br />(D (n <br />-n Cn cn <br />0 j�3 0-) <br />c: cn <br />C:) <br />cn <br />CD <br />0 0 <br />2- <br />0 <br />z0 <br />#- w <br />(D <br />cn <br />14. <br />cnfD <br />:F- <br />0 <br />w <br />CD <br />0 <br />0 <br />V) <br />X <br />0 <br />(D <br />co <br />4�1 <br />cn <br />4 <br />
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