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SR0080203 SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1000010
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SR0080203 SSNL
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Entry Properties
Last modified
5/12/2020 4:21:25 PM
Creation date
4/30/2020 8:40:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080203
PE
2602
FACILITY_NAME
PA-1000010
STREET_NUMBER
12
Direction
W
STREET_NAME
LORENZEN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23914003
ENTERED_DATE
2/12/2019 12:00:00 AM
SITE_LOCATION
12 W LORENZEN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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L SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: <br /> OWNER NAME: L4 AZ_ 2-A -5 L L C, za 14 A I e, -DATE: <br /> APN: APPLICATION#: PA - "rte DEPTH TO FIRST WATER: 0 Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> It L I: <br /> ............ . ...... <br /> t <br /> tt ........... <br /> .............. <br /> I Ld.......... 'I <br /> -4..........�-LL <br /> SOIL PROFILE (IF REQUIRED) 14-7-Y 15A rgol2zL�V16 P E 0 ;5A,,V I-A t, <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth / Soil Type <br /> Test Hole # 1 Test Hole# 2 <br /> Diameter: in <br /> Parcel: Diameter: -,��, in_ I Depth: in Parcel: in I De�iR-7_71 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3,47' e,4 :?,/g <br /> eq 3, 301 4o <br /> 10-'30 12,0 1 'w <br /> /a."00 3,,7-Z, <br /> /2 - 303 ,11 ' <br /> 0) 3, L S <br /> PERCOLATION RATE: -7. 7 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: E-Powir RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: c?0 -42 - 14,5-2- Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone Date - <br /> EH D 42-03 REV 11/2/09 PERC TEST RATE FORM <br />
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