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SR0085015
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085015
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Entry Properties
Last modified
5/5/2022 8:32:38 AM
Creation date
5/5/2022 8:16:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085015
PE
4222
FACILITY_NAME
11662 N HAM LN
STREET_NUMBER
11662
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05925003
ENTERED_DATE
3/16/2022 12:00:00 AM
SITE_LOCATION
11662 N HAM LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Site Address: 11662 N Ham Ln, Lodi CA 95240 <br />Date: 3/29/2022 <br />PHOTO # 1 Percolation test. <br />ADDRESS OR LOCATION: I <br />OWNER NAME: O G <br />APN: 054-2-50- <br />ry <br />SOILPE. _ Ria: <br />REMARKS: <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 F—: (209) 464-0138 Web: W Ajg—.19/ehd <br />PERCOLATION TEST RATE <br />APPLICATION #: <br />-- 2.25 — <br />�- RMe tnN <br />TIME <br />R <br />WATER DROP REFILLED <br />a:00 <br />K.z3 <br />-- <br />cl:30 __K_2S, <br />LN <br />o� <br />10'.00 <br />zG <br />•01 <br />J: 3 <br />(4,2 r <br />-- — <br />100 a. <br />.Z <br />.Z <br />1:7 91.4 <br />(1.24 <br />— -- <br />1J.:7— <br />i <br />PERCOLATION RATE: P41I— minlin <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY:� �..9 <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): ErgACi41r. <br />EHD42-03 REV 1112M <br />L <br />: 3 fi y2. <br />DEPTH TO FIRST WATER: FI <br />Test Hole # 2 <br />Parcel: ; Diameter. 12 in I De . <br />TIMEREADING <br />WATER DROP <br />R1.a: <br />0 — <br />.2.,z. <br />'3o q.ci <br />LN <br />q.7.4 <br />10'.00 <br />aA — <br />10' 30 <br />2 <br />9.?'l <br />100 a. <br />.Z <br />.Z <br />1:7 91.4 <br />2 <br />4.2 <br />PERCOLATION RATE: 13.8 mintin <br />RECOMMENDED SEPTIC AREA: <br />Phone (209)V-0375 Date 3 Z2 Z2 <br />Phone. Date <br />Phone (10) _1032- Date ?Z22L22 <br />PERC TEST RATE FORM <br />Record ID: SR0085015 <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 2 <br />
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