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SR0085096
EnvironmentalHealth
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MANUEL SILVA
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085096
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Last modified
7/14/2022 9:56:06 AM
Creation date
7/14/2022 9:35:18 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085096
PE
4222
STREET_NUMBER
26500
Direction
N
STREET_NAME
MANUEL SILVA
STREET_TYPE
CT
City
ACAMPO
Zip
95220
APN
00535006
ENTERED_DATE
4/4/2022 12:00:00 AM
SITE_LOCATION
26500 N MANUEL SILVA CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Site Address: 26500 N Manuel Silva Rd, Qcampo CA 95220 <br />Date: 5/18/2022 <br />PHOTO # 1 Percolation test. <br />'�' illtit <br />ADDRESS OR LOCAT <br />OWNER NAME: <br />APN: <br />SOIL TYPE: <br />REMARKS: <br />1988 EeSt Hazelton Avenue. StocKron. �•� ov. org/and <br />7'a/aPhonar (209) 4B9-3420 Fax: (209) 494-0139 Wab: ww,N-519 <br />PERCOLATION TEST RATE A _ <br />` w <br />-- 4- <br />1 <br />If. 3 a <br />c{ .3 3 .( <br />f D. <br />319 <br />- <br />i + -F- - �- . I,I .•w 13. R L — r Cl . 12—r--r- <br />Parcel 1 <br />TBS/ noes +r <br />Diameter In Da th' <br />TIME <br />O:O <br />::10.30 <br />READING <br />WATER DROP REFILLED <br />_3 <br />11:3 <br />.l <br />t <br />I , <br />-- <br />r .3! <br />3 ' <br />02 �— <br />1:D� <br />2S <br />7—_ <br />PERGOLAi IVIV M— -; <br />"""------ <br />ENDED SEPTIC AREA: <br />RFORMED BY <br />BY: <br />EDBY(RENS): fp ctFRTIFIED <br />V 11/2/09 <br />Test Hole # 2 <br />Parcet: Diameter:L4 in De the <br />t I- _0 <br />.0-- r 4 -—'Z5— <br />PERCOLATION <br />SPERCOLATION RATE: 3. minfin <br />RECOMMENDED SEPTIC AREA: <br />Phone:(209'� 36Q-03L�5SDate i 22 <br />Phone: Date <br />Phone Date --- <br />T'_ PERC TEST RATE FORM <br />w,t.�A <br />Record ID: SR0085096 <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 2 <br />
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