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SR0081542 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0081542 SSNL
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Entry Properties
Last modified
2/25/2020 12:07:46 PM
Creation date
2/11/2020 4:30:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081542
PE
2602
STREET_NUMBER
1123
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10320008
ENTERED_DATE
12/18/2019 12:00:00 AM
SITE_LOCATION
1123 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 7Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: <br /> J"j 4 CITY: <br /> OWNER NAME: <br /> -DATE: A <br /> APN: APPLICATION#: PA.P: 16j09) .'P DEPTH TO FIRST WATER:_Ft <br /> SOIL TYPE: <br /> REMARKS: ViS'j fl.c,+ <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> LI <br /> F <br /> ....... . ........ <br /> I IL <br /> 4-i <br /> I i I T-1 I I I _T__F <br /> T-F-1 <br /> it <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> L'-j_--I 17r IIj('f <br /> Test Hole# 1 Test Hole# 2 <br /> I-Ra—rcel. Diameter: 1-17. in I Depth: A� Parcel:7rc e—1. — 1 Diameter: in T-Depth. in <br /> TIME READING -WATER DROP REFILLED TIME READING -WATER DROP REFILLED <br /> 8:00 210 <br /> to.'00 3. 09 0. 0 <br /> ILI O. 0 <br /> S-Z 1 0.0`7 <br /> Z,.-?( 0.06 <br /> 2°106 0 _(.)_. <br /> PERCOLATION RATE: I .min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: <br /> A- 0 - RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date 11 77 S. TT <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FOPM <br />
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