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SU0004528 SSNL
Environmental Health - Public
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2600 - Land Use Program
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PA-0400364
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SU0004528 SSNL
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Last modified
12/18/2019 4:37:44 PM
Creation date
12/18/2019 4:31:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004528
PE
2632
FACILITY_NAME
PA-0400364
STREET_NUMBER
15445
Direction
E
STREET_NAME
WILDWOOD
STREET_TYPE
RD
City
RIPON
APN
20314001
ENTERED_DATE
7/6/2004 12:00:00 AM
SITE_LOCATION
15445 E WILDWOOD RD
RECEIVED_DATE
6/30/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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ADDRESS OR LOCATION: 10 s-, k APN: <br /> OWNER: M �k, 3—,j�Q.--.L--1 DATE: <br /> APPLICATION DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: Lc)4 I 2- <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> F71 I � - I ' ;- <br /> 4 141, <br /> i A <br /> SOIL PROFILE (IF REQUIRED) R.e�'j <br /> Soil Type Depth Soil Type Depth Depth Soil Type <br /> Depth Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER: LA in DEPTH: 41 in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFILLED TIME READING DROP WATER <br /> DROP REFILLED <br /> U3 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECONLNIENDED SEPTIC AREA: RECO-NaIENDED SEPTIC AREA: <br /> TEST PERFORMED BY: <br /> Phone: <br /> Date <br /> TEST CERTIFIED BY: Phone: S6 Z- <br /> Date <br /> OBSERVED BY(RENS). Phone ze7�3 Date <br /> EFID 42-02-003 1,2-11 k'3 PERC TEST RATE FOR-Nflc <br /> REV IS ED 5/7102 <br />
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