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SR0085730
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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16402
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085730
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Last modified
10/12/2022 4:31:01 PM
Creation date
10/12/2022 4:20:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085730
PE
4222
STREET_NUMBER
16402
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908028
ENTERED_DATE
8/31/2022 12:00:00 AM
SITE_LOCATION
16402 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Address: 16402 Escalon Bellota Road, Escalon <br />ADDRESS OR LOCATION: <br />OWNER NAME: ,!'4 --4 <br />APN: -9z'9_ -l��0' <br />SOIL TYPE. <br />LOCATION OF TEST HOLES <br />' Test Hol # 1 Test Hole # 2 <br />Parcel:Diameter: in I De the in Parcel: I Diameter: jL_L Depth: in <br />TIME READING WATER DROP REFILLED <br />OaW7 <br />#�s <br />TIME_ <br />READING <br />W ER DROP <br />_REFILLED <br />_d <br />'a <br />la <br />,5120 <br />PERCOLATION RATE: miniIn PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC(REQ: RECO ED SEPTIC AREA: <br />TEST PERFORMED BY: Kir ' 4�!T Phone E ia�7 1F10b Date <br />TEST CERTIFIED BY. Phone: Date <br />�! it �i Phone 7P>g— �O%rF 3 0 %� Date <br />��Z 022 <br />-_�RVED BY (RENS; f{�� <br />PERC TEST RATE FORM <br />EHO 4Y-rJ REV 11009 <br />Naseem Ahmed, Registered Environmental Health Specialist <br />Permit: SR0085730 <br />
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