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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: ) ,0 i 5- t APN: 2,112 <br /> OWNER: DATE: <br /> APPLICATION DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS:— <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth— Soil Type DepFh Soil Type Depth Soil Type —6—epth Soil Type Depth Soil Type <br /> FEST HOLE#1 ' DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TmDROP DROP E READING WATER REFILLED TIME READING WATER REFILLED <br /> /Z11 <br /> Py 3 /93 <br /> q, <br /> J/ 0 L4 31 ID � <br /> q I <br /> La • os q, 37 <br /> 050� yl <br /> 41-Z <br /> iD . 6-45 <br /> PERCOLATION RATE:' min/in PERCOLATION RATE: min/in <br /> RECONLMENDED SEP C AREA: RECOlit-VTENDED SEPTIC AREA: <br /> SEP C AREA., <br /> B Y_ <br /> TEST PERFORMED BY: i Phone: 7hl'l Date <br /> TEST CERTIFIED B Phoue:�7–S�V Date <br /> OBSERVED BY(R-EH Phone Date <br /> EHD 42-02-003 !;or-,',(ejPERC TEST RATE FORMIC <br /> f,'-EV IS E D 517/0 2 <br />
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