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SR0079500
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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7101
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079500
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Last modified
11/19/2024 3:48:03 PM
Creation date
9/11/2018 4:20:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079500
PE
4222
STREET_NUMBER
7101
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
04913052
ENTERED_DATE
8/10/2018 12:00:00 AM
SITE_LOCATION
7101 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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TelePho 5t lioAven <br />ne. 2U91 468-3420 Fax: 209 4 Stockton. CAS , <br />1464-0138 95205-6232 <br />ESS OR Web; <br />LocanoN: PERCOLATION TEST RATE W "(Jo„ arq ehd <br />R NAME: �! T I A^1 a.,:'c,L. �'-T i �.. <br />PE <br />APPLICATION N: F.^� <br />KS: h JcJU � DATE - 2 Z - <br />►J r.Ls:-1 �� � <br />3'': jam'"„•mow_ _ �' �, OEPTN TO FIRST WATER: <br />_ _ Test Hole #_ 3 _ _ Test Hole _#_2 <br />Parcel: j Diameter. in De the 1 in Parcel: y Diameter: in Depth: rt <br />TIME READING <br />WATER DROP _ RE -FILLED--- <br />- <br />9- --- <br />—2-- <br />e3 <br />� <br />----- <br />3 mac_ fi <br />_°°►— <br />-i- <br />PERC TION RATE: minlin <br />RECO oo NDED SEPTIC AREA: <br />TEST PORMED BY <br />TEST CERTIFIED BY' <br />OBSEPiLSm BY (RENS): <br />EHL) 42-031 I'2'0” <br />O G <br />PERCOLATION RAI I--: — <br />RECOMMENDED SEPTI AREA: <br />��ilG� p�Y- - <br />Phone: P Date <br />Phone:' Date <br />Phone KRC PEST RATE Ftwle <br />
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