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SU0005084 SSNL
Environmental Health - Public
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2600 - Land Use Program
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PA-0500323
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SU0005084 SSNL
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Last modified
5/7/2020 11:31:27 AM
Creation date
9/9/2019 10:44:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005084
PE
2690
FACILITY_NAME
PA-0500323
STREET_NUMBER
17510
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
05118018 & 19
ENTERED_DATE
6/8/2005 12:00:00 AM
SITE_LOCATION
17510 N TRETHEWAY RD
RECEIVED_DATE
6/3/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRETHEWAY\17510\PA-0500323\SU0005084\NL STDY.PDF
Tags
EHD - Public
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ADDRESS OR LOCATION: I��� �( hP.thG1/1 P . APN: <br /> OWNER: FnP, DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: /�/c� 410 30/(12 Last WaterDrop) 101(12•LastWater Drop) <br /> Deep less than or=30 min/in <br /> S LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow essthan or=60minlin <br /> 2 �I <br /> SOIL PROFILE (IF REQUIRED) �J\Al ?).(_P2_ �2�iU Z2.Gy <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth F Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: In DEPTH: HZ In TEST HOLE #2 DIAMETER: in DEPTH: 'In <br /> TIME READING WATER DROP REFFILLED TIME READING WATEDROP REFFILLED <br /> 22.co0 r of <br /> 2, Ds z:()Z 22_�s o <br /> z.5 c�', . 02 7-:3-7 Z2 US 0 <br /> -1 F <br /> PERCOLATION RATE: 12-S min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED B D b& Phone: ���5�(p5 Date: �2 <br /> TEST CERIFIED BY: Phone: S Date: 0� <br /> OBSERVED BY(REHS) dti Phone:�J`� ��/S Date: 2 `7 D <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />
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