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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 />01/1412022 <br />PHOTO # 2 <br />Percolation rate for H-3. <br />\ifW PERCOLATION TEST RATE <br />�ooreEss ort LocAnoR: z'3191 V• ll• c �� y i <br />p�1N4E: /-+✓B Dare%enr 4a 674r.a/Y &aK+l' owTEosvrN �o mns wraen:�—� <br />�'; +// APPUCAnonr. <br />Spry TYPE: <br />Rp4ARNl: <br />Test Hote ii_ _.._ -De it). in <br />Test Hole A 1 _ Parcel: Diameter — - <br />Diameter in —D Rh. <br />Parcel: A .M...o..- � w��ER DaoP�_RErwt� <br />Sp mintin <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY:4 T ,I it <br />OBSERVED BY (RENS) <br />EHO 42-07 REV t I,""' <br />SR0084720 <br />minlin <br />PERCOLATION WE: <br />RECOM�M���111(I(tttEN'M_D`ED�1SEP JC//AREA, Date /Y 2 -'Phone: 1�1= + @I <br />Date <br />Phoe <br />Phone i) - Data� _I �y <br />PERCTESTRATE FORM <br />Michael Suszycki, Senior Registered Environmental Health Specialist Page 2of 2 <br />
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