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SR0085384
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085384
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Entry Properties
Last modified
10/11/2022 10:18:33 AM
Creation date
10/11/2022 9:26:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085384
PE
4222
FACILITY_NAME
3673 E CALIMYRNA RD
STREET_NUMBER
3673
Direction
E
STREET_NAME
CALIMYRNA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514216
ENTERED_DATE
6/9/2022 12:00:00 AM
SITE_LOCATION
3673 E CALIMYRNA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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Site Address: 3673 E Calimyrna Rd, Acampo CA 95220 <br />Date: 7/12/2022 <br />PHOTO # 1 Percolation test. <br />7, <br />. . . . . . . .... <br />% <br />PFRCOLATIO <br />C3 5-�2 7 0 <br />ADDRESS OR LOCATION: F_ 64 -'S'a gA CITY: Acetm <br />OWNER NAME: 61_ Ie 1/1 zjLz 7- <br />APN: __ 005- 1'( Z. I Co APPLICATION #: DEPTH TO FIRST WATER: _Ft <br />SOILTYPE S6�1 JOAqL-iA L, 110 CIA 10,,4 C-=�" �Zt <br />REMARKS - <br />ALL <br />;w- <br />'111dQ*w% I � , - <br />ss <br />LU�AIIUN Ur 1=�j MUL— I—WINELJAN —K—U—) <br />L <br />T <br />32 - <br />SOIL PROFILE (IF REQUIRED) 0 IrV, 1:,.x <br />!�Jt%;' Soil Ty7j Depth Soil Type 1 Depth Sod <br />.5-2.2 <br />Test Hole __# 1 Test Hole # 2 <br />-Parcel: 1 Diameter. - 4 i1i I Parcef__ _1 Diameter. --in -Depth. _71 <br />__ -qL Time Rt �_Nh�WATER DROP. _F�LLIEO TWE I RE!�I�G WATER DROP REFILLED <br />_ <br />A:3 N Ll o3— <br />.q <br />IN <br />I0:30 q Ll 14 <br />W (4 (4S 2�.G <br />-3 <br />1: 0 <br />0 2-1 <br />I - ` <br />_ILA PERCOLATION IL)N RATE: <br />MENDED SEPTIC .& RECOMMENDED SEPTIC AREA: minlin <br />FRFORMED BY. Phone: <br />ERTIFIED BY. Phone. Di e <br />VED BY (RENS):.. Phone I <br />Dr e <br />i1V I'M <br />kl:� I RC TEST RATE FOR,., <br />_Q5-� <br />I-wq <br />rj <br />V <br />Record ID: SR0085384 <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 2 <br />
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