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SR0085380
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085380
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Entry Properties
Last modified
7/14/2022 9:11:14 AM
Creation date
7/14/2022 8:19:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085380
PE
4222
FACILITY_NAME
12958 E JAHANT RD
STREET_NUMBER
12958
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00727022
ENTERED_DATE
6/8/2022 12:00:00 AM
SITE_LOCATION
12958 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Site Address: 12958/12970 E Jahant Rd, Acampo AC 95220 <br />Date: 6/15/2022 <br />PHOTO # 1 Percolation test. <br />kuhNVIRONMENTAL HEALTH DEPARTMENT <br />-`j 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www, sjgov.orgfeho <br />I� I P1 IroaW PERCOLATION TEST RATE <br />ADDRIO <br />ESS OR LOCATN: 1 ��J I O.r�E:I _I C> - l OJ\0.4 q <br />lrCIN: `��n{ IL0.w� <br />5!: OWNER NAME: pQl-Ip�"��i� j`�yt'c•'J1 <br />�. APN" Ci CD -" '1-1 APPLICATION 0: J RO 00 7, =, �>,l'� DEPTH TO FIRST WATER: I j (y Ft <br />SOIL TYPE <br />REMARKS: - <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />ly, . <br />DD�th _ Soll Type Depth Soil�eINth Soil Type <br />_ Depth Soa Type <br />De thSoil Typ <br />loo -i �>d - <br />– <br />— - <br />,x� ji S<..J <br />_ <br />16,S5 <br />O(Zc, —SwITu-{ <br />Test Hole # 1 Test Hole # 2 _ <br />Parcel. Diameter I � in Depth: in Parcel. Diameter. I a in Depth'. y" in <br />77 <br />I I <br />t <br />WATER DROP <br />REFILLED <br />F <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY. p <br />OBSERVED BY (REHS)' fcAi'Sl I G r' ii Ul <br />EHD 42.00 REV 1112)09 <br />Ti,,F <br />READING <br />WATER DROP <br />REFILLED <br />_ <br />16,S5 <br />O(Zc, —SwITu-{ <br />To 1 HR TGS_ <br />10'.LI <br />- <br />- <br />Ia.18- <br />to.s� <br />13 wa <br />�l° <br />13. oa <br />II o0 <br />13 LIQ__. <br />Q,yo <br />_ I3.o5 <br />11' Io <br />13•`ib <br />0-li-I_ <br />1 <br />13, 4b <br />it•� <br />,13,4�a <br />o.� <br />i3,17 <br />fI; G <br />13. b3 <br />©M(„ <br />PERCOLATION RATE: <br />1. R I <br />minlln <br />RECOMMENDED SEPTIC AREA: _ <br />Phone:2n9 - i 70 -0131 Date <br />Phone: Date <br />Phone S'L Date <br />Record ID: SR0085380 <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 1 <br />
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