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SR0081087 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0081087 SSNL
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Last modified
11/19/2019 8:41:13 AM
Creation date
11/19/2019 8:19:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081087
PE
2602
FACILITY_NAME
MARCO PACHECO
STREET_NUMBER
11550
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10329028
ENTERED_DATE
8/27/2019 12:00:00 AM
SITE_LOCATION
11550 E NORMAN AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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!!!N C SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> x 186 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> `'FOR PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 115JrO A/ ; vir CITY: '�T�e_ ,vJ <br /> OWNER NAME: Awluy P DATE: S� /k/—/? <br /> APN: /'!�.3 W APPLICATION#: P--' /*60 41 7S DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 3 1 - I �I �-• i <br /> 1 I i <br /> _1 THI <br /> , <br /> - i-i <br /> 1 1 1 1 1-T-I I-teI I I-F-I I II I i- 1 1 F I I I I I 1 I I I I I I I I 1 f <br /> T I I T-T-I FT-1 T-7-1 I I I m F1 M F-1-1 I I FT_ <br /> H I ;--i-- <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: X in Depth: in Parcel: 2-• Diameter: i,?- in Depth: S1'—? in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> vu ?, _Z�1' �'-o Z_ 2. 7S" -H- <br /> °.Ole <br /> 0 3D .Jl •off /0 —x. <br /> 1,17' + °b' 7- /l 01� 3, 1Z' <br /> x ,440 ,001 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: I , 3 min/in <br /> RECOMMENDED SEPTIC AREA: ( z, pdO 5 RECOMMENDED SEPTIC AREA: 12,c&LS <br /> TEST PERFORMED BY: firs Phone: j b/ Date <br /> TEST CERTIFIED BY: ^!~ Phone: ` Date L:7" �7 <br /> OBSERVED BY (RENS : Phone Date ) y <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />
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