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SR0084720
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084720
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Entry Properties
Last modified
2/7/2022 9:54:46 AM
Creation date
2/7/2022 9:28:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084720
PE
4222
STREET_NUMBER
23982
Direction
E
STREET_NAME
VILLAGE
STREET_TYPE
DR
City
CLEMENTS
Zip
95227
APN
00930011
ENTERED_DATE
1/12/2022 12:00:00 AM
SITE_LOCATION
23982 E VILLAGE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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23982 Village Dr., Clements, CA. 95227 <br />01/14/2022 <br />PHOTO # 1 <br />Percolation rates from H-1 and H-2. <br />1868 East Hazelton Avenue, Stockton, <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vrwW-sigov.org/ehd <br />ADDRESS OR LOCATION: 2.j iBZ ✓r//!�`D�• f 19450 J`/arfc 14n,h 8P' cm: e_l M_fs <br />OWNERNnA^MAE: i -w6 OC��OMief/ C� Ear.. -fl` Boo Kir DATE: //442- -- <br />APN: 009 - - APPLICATtON 9: DEPTH TO FIRST WATER: �Ft <br />SOIL TYPE <br />REMARKS: ---'-� <br />Test Hole # 1_ Test Hole # 2 <br />Parcel: I Diameter. & in De the 2 in Parcel_ g_7 Diameter: % in De the 41 in <br />TINE <br />READING <br />WATER DROP REFIL ED <br />_ <br />2. <br />:10 <br />No <br />now <br />p <br />0 so <br />gig <br />,sr • - - <br />/nrae <br />1 z z <br />Ios ; <br />_ aJo <br />.2 <br />o — <br />/: DO <br />A. <br />L:� <br />Z. <br />us z <br />0. <br />2.1_< <br />oS' <br />Test Hole # 1_ Test Hole # 2 <br />Parcel: I Diameter. & in De the 2 in Parcel_ g_7 Diameter: % in De the 41 in <br />TINE <br />READING <br />WATER DROP REFIL ED <br />_ <br />2. <br />:10 <br />2, ft <br />.asr <br />p <br />2.e <br />,sr • - - <br />/nrae <br />1 z z <br />Ios ; <br />_ aJo <br />.2 <br />o — <br />/: DO <br />A. <br />L:� <br />Z. <br />us z <br />0. <br />2.1_< <br />oS' <br />PERCOLATION RATE: Jro min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: 3iilr��n1 <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHSY YcG <br />EHD 42-03 REV 112M9 <br />TIME <br />READING <br />WATERDROP REFILLED <br />_ <br />B:OS <br />2. <br />/u: of <br />2 . '' <br />�s <br />-- <br />12 <br />2 -ft <br />PERCOLATION RATE: *2_ minfin <br />RECOMMENDF yS���P��]}��� AREA: <br />Phone: * /1`rWt Data <br />Phone: Date _1777--5 <br />Phone IO i — <vl Date Z <br />PERC TEST RATE FORM <br />SR0084720 <br />Michael Suszycki, Senior Registered Environmental Health Specialist Page 1 o 2 <br />
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