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SR0085654
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085654
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Entry Properties
Last modified
10/11/2022 10:04:03 AM
Creation date
10/11/2022 9:31:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085654
PE
4222
FACILITY_NAME
4747 E ACAMPO RD
STREET_NUMBER
4747
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703030
ENTERED_DATE
8/16/2022 12:00:00 AM
SITE_LOCATION
4747 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Site Address: 4747 E Acampo Rd, Acampo CA 95220 <br />Date: 8/26/2022 <br />PHOTO # 1 Percolation test. <br />i y ..�I.4 <br />' r w t �..• 'S1Fa1 <br />ti <br />lOAQUIN COUNTY <br />ENVIRONMENTAL RTMENT <br />1868 Eaast Hazol(on Avenuo, HEALTH <br />Oq CA 95'10.5-6232 <br />Telophone: (209) 468.3420 Far: (209) •164-0138 Web: w Sk)Ory OI91.hd <br />AODRE59 <br />E:OCATNM/: PERCOLATION TEST RATE <br />OWNERNAMg�� <br />SOIL—.���-- APPl1CATION S. <br />REMARKS: <br />—DAT6:yf1�Z—'3i` <br />TIPS: ,! t <br />--.— <br />Dep01 <br />". I" <br />Solt TYP_ Dom__ <br />SoliTyL. Dep0, Soil Tjrth Soil <br />_Soils <br />lest Hole # 1 <br />Parcol -- ----- <br />Ulamolor: L in <br />D lb: W <br />_ _ Tost Hole #2 _ <br />Pmcol, Diameter. -" --" <br />Depth.- in <br />❑w. Rrurau WAIN:Dµf1P.RPAW4 <br />_ <br />1 <br />HfNnNO- _ WARJi �FCP_ IIE1'nl!'u <br />_ <br />01 <br />TL <br />- <br />nsn I ai <br />-- O-ol <br />vs <br />_ <br />ice- <br />z ii 09 <br />o3 <br />0 <br />L <br />is <br />PERCOLATION RATE: —tzcsS Z� <br />j'i miNiu <br />PERCOLATION RATE: ' <br />RECOMMENDED SEPTIC AREA: <br />_ <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: 1 I Pe ,+s.R _ <br />plwrle; Data <br />TEST CER "rIPIED BY: <br />_ <br />Phone: Date <br />OBSERVED BY (RENS): n(.L J_�/ <br />VIWI42W W.V f IrJfllfl <br />Phaw__"2p 14 i Dato --_9T =4j L2 <br />PEW TEST -RATE rC iM <br />Record ID: SR0085654 <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 1 <br />
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