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SR0085251
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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26 (STATE ROUTE 26)
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12123
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085251
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Entry Properties
Last modified
11/20/2024 8:50:23 AM
Creation date
5/20/2022 1:12:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085251
PE
4222
FACILITY_NAME
12123 E HWY 26
STREET_NUMBER
12123
Direction
E
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215
APN
08919019
ENTERED_DATE
5/10/2022 12:00:00 AM
SITE_LOCATION
12123 E HWY 26
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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I ` O w CL d c' �Ih 3 (DD <br /> ) CDcD <br /> O <br /> CL N <br /> ((D aq� ulir;; CD <br /> n W <br /> v hf 15eFtc11=,.► - T (D C:) <br /> m <br /> ;) 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(2 9)464-0138 Web:—.sj ov.or Iehd —h _ <br /> SiIaY1 �� 9 9 O <br /> m PERCOLATION TEST RATE -1 <br /> ADDRESS OR LOCATION: 12 1 2-3 E., h wy. " N <br /> OWNER NAME: JeYV L CITY: S-rbe-KTv,) �_ <br /> F4-ER-w.r^?jj>EZ �I <br /> APN: 0&11 )qp ..I 9 D <br /> APPLICATION p: SR�(JgATE: S ZZ CL525—i <br /> SOIL TYPEC /R LDEPTH TO FIRST WATER: T h <br /> . OQK ♦1P,rV� � �'inil�-oA CL Ft <br /> 3 C p trw� ,:-F O <br /> REMARKS: (D 0 <br /> d � � <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> i-- PERCounoxTEST SKETcx <br /> x•oun„Ier Pvc Ppe r..-- PERccunox TEST SKETCH <br /> oi—ta'PVC Pipe <br /> Z 4y --- — <br /> _ — <br /> ]o.,rp,K <br /> ({.3(o i <br /> SOIL PROFILE IIF REQUIRED) <br /> De th ' Soil T e De th Soil T e De th Soil T e De th Soil T e <br /> - f De th Soil Type <br /> I <br /> 2 -Z.Liy <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter in De the 2, Parcel: Diameter: <br /> in De the <br /> TIS READING WATER DROP REFILLED <br /> :00 r TIME REAPING WATER DROP REFILLED <br /> V q.I� <br /> 10:36 K. �{ b K. Iq <br /> 1:00 <br /> 11:00 <br /> 12:30 <br /> 1:30 4.ZZ <br /> PERCOLATION RATE: IO.O --— ----- <br /> DED SEPTIC min/in PERCOLATION RATE: (D <br /> }, miNin V 0 <br /> FORMED BY: ENDED SEPTIC AREA:EA: O <br /> TIMED BY: Phone: ?{?`1�36q-p��C Date S I 22 IL <br /> BY(REHS) Phone: j <br /> Phon 1 C}� UD1ie 8 CA <br /> (p PERC TEST RATE FORM O <br /> r <br /> t <br /> O <br /> 00 <br /> (11 <br /> N --L <br />
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