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SU0004855_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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5184
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2600 - Land Use Program
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PA-0400620
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SU0004855_SSNL
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Last modified
11/19/2024 3:46:24 PM
Creation date
9/9/2019 10:25:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004855
PE
2691
FACILITY_NAME
PA-0400620
STREET_NUMBER
5184
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05516044
ENTERED_DATE
2/22/2005 12:00:00 AM
SITE_LOCATION
5184 W HWY 12
RECEIVED_DATE
2/22/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5184\PA-0400620\SU0004855\NL STDY.PDF
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EHD - Public
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ADDRESS OR LOCATION: S t 4w uN 2— a 4 APN: <br /> OWNER: DATE: Xjr) 1104 <br /> APPLICATION #: DEPTH TO FIRST WATER: i — ft SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> 0 J, <br /> t <br /> b <br /> It, <br /> x <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE#7 DIAMETER: k ,-> in DEPTH: 7,,?tr" i;n, TEST HOLE#2 DIAMETER: in DEPTH: —it, <br /> WATER 'WATER <br /> TIME READING <br /> DROP REFILLED TIME READINGDING DROP REFILLED <br /> -5 <br /> 9D <br /> c2l. <br /> cb <br /> (sc-) <br /> 01 44 <br /> C). to <br /> .;2' �C <br /> PERCOLATION RATE: Co min/in PERCOLATION RATE: min/in <br /> RECOINUNIENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORIMED BY: Phone: 3 Date <br /> TEST CERTIFIED BY: Phone: Date 16 4 <br /> OBSERVED BY HS): Ph4;e? Date <br /> EHD 42-02-003 PERC TEST RATE FORNI]c <br /> REVISED 5/7102 <br />
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