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SR0083378
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2721
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083378
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Entry Properties
Last modified
3/19/2021 9:46:54 AM
Creation date
3/19/2021 9:39:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083378
PE
4222
STREET_NUMBER
2721
Direction
S
STREET_NAME
POCK
STREET_TYPE
LN
City
STOCKTON
Zip
95205
APN
17912003
ENTERED_DATE
3/9/2021 12:00:00 AM
SITE_LOCATION
2721 S POCK LN
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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Address: 2721 S. Pock Lane, Stockton <br /> I <br /> j ': Te/eplrone:(209)468-3420 Fax:12001 aoa-0133 Web:......s;3cv org—,d <br /> PERCOLATION TEST RATE ' <br /> Z7 ZI S. Ln an: S+o��on <br /> ADDRESS OR LOCATION: Poc% <br /> OWNER NAME: h •U DATE <br /> APN: 1 7q—I 10—O 3 APPLICATION M 5R 00,533-4-q DEPTH TO FIRST WATER: Fl <br /> SOIL TYPE: ..i C ne. C/A i9 <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> �_.. - <br /> ... i- <br /> -.•—. - — oxrmrsxDcx <br /> una r�r uDcx x z•o,m.m.xvc vaw <br /> 31lU=, <br /> 4.6y <br /> x.M �x.ITv xl <br /> ELI Y 06-Wi-f.2'L Lt.52 <br /> - I <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T Depth Soil Type De th Soil T e De th Soll T De th Soil T e <br /> 0._3 c <br /> v F;•.t.sc.• <br /> Test Hole#'I Test Hole#2 <br /> Parcel: l Diameter. in Death: 3.2- Parcel: Diameter: 4 in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> q:00 Dl- — •06 — Li•S0 <br /> q:00 �r <br /> q:30 .56 .50 '0q q:30 Lf. 16 i(.4 6 <br /> 10,1 00 .46 .3 I '.00 5 Lf 1521N <br /> 10-•30 .39 2 q-01 10:3o 4.5 .O-- 14-57- <br /> 11;00 <br /> I.57- <br /> 11,00 4.3 133 4. 06 Ileo '4.5-q I o7 u.55 <br /> 11:3 If,3 28 u.02 11:30 14.60 1 .05' Lt.5(f T, <br /> )2",00 .31 ul y IL:vo 1410 •06 Lt,5 <br /> (2.30 14.30 6 U6 12 30 .5� 06 .5 <br /> 1100 N.3 — 1:00 (4.6o 6 <br /> PERCOLATION RATE: 0•q2 min/in PERCOLATION RATE: 41. ;Z minlin <br /> RECOMMENDED SEPTIC A A RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: (76G)364-034 Date '311-712,11 V, <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone Date 3-1 7-2-\ <br /> EHO 42-03 REV I MIDI) PERC TEST RATE FORM <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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