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SR0083566
Environmental Health - Public
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12 (STATE ROUTE 12)
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9220
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083566
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Entry Properties
Last modified
11/19/2024 3:48:05 PM
Creation date
6/7/2021 3:18:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083566
PE
4222
STREET_NUMBER
9220
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05507021
ENTERED_DATE
4/15/2021 12:00:00 AM
SITE_LOCATION
9220 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Address: 9220 W. Highway 12 <br />P� ENVIRONMENTAL HEALTH a DEPARTMENT <br />meow, <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 eo, Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: w .sjgov.orglehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: Ci730 ir. Hi 01...e 1? CITU: Lois <br />OWNERNAME: DATE:_ Y so al <br />APN' APPLICATION#: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />LVl.A 11UN <br />soR PROFILE IP ReamRED <br />De th Soil Type De th Sol( Type Depth Soil T e De fh Soil Ttf <br />VF ItST KOLED <br />9MOW WELLS <br />AND 9TRUCTURE3 <br />WATER <br />Parcel: <br />Diameter. <br />in De ih: 3 � in <br />e <br />De th <br />Soil T e <br />Diameter. <br />L, <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />Q nl <br />3•?S <br />4tvl <br />;.QS <br />� <br />f.7T <br />la•.� <br />4.2 <br />-6.45 <br />3,' <br />10'4 <br />4 <br />3•l. <br />Irn <br />•q <br />,� <br />I � <br />_ <br />a I <br />Itr• <br />7. <br />1 '.41 <br />b <br />3 <br />7 .1 <br />t'41 <br />•I <br />1 . <br />• <br />-� <br />- <br />rw <br />-� -- <br />Test Hole # 2 83 <br />Test <br />Hole <br /># 1 g t <br />WATER <br />Parcel: <br />Diameter. <br />in De ih: 3 � in <br />e <br />De th <br />Soil T e <br />Diameter. <br />L, <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />Q nl <br />3•?S <br />4tvl <br />;.QS <br />� <br />f.7T <br />la•.� <br />4.2 <br />Test Hole # 2 83 <br />Test <br />Hole <br /># 1 g t <br />WATER <br />Parcel: <br />Diameter. <br />in De ih: 3 � in <br />Parcel: <br />Diameter. <br />L, <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />Q nl <br />3•?S <br />4tvl <br />;.QS <br />� <br />f.7T <br />la•.� <br />4.2 <br />-6.45 <br />3,' <br />10'4 <br />4 <br />3•l. <br />Irn <br />•q <br />,� <br />a I <br />Itr• <br />7. <br />1 '.41 <br />b <br />3 <br />7 .1 <br />t'41 <br />•I <br />PERCOLATION RATE: 97 min/in <br />RECOMMENDED SEPTIC AREA: <br />BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EMD 42103 REV I IlM9 <br />_ <br />TEST PERFORMED <br />_ <br />a:ba s -r <br />9:a 4.01-0.94 —. <br />a.57 AS S•Sf <br />e.Lr T <br />09 S.VT -O• Gf <br />im 0 �& -'19C6 <br />orb <br />i <br />F'tKGOLATION RATE: )L5% min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: <br />Date <br />Phone?-G��"3d/ff —�— <br />Date <br />„s <br />�,__ <br />PERC TEST RATE FORM <br />Naseem Ahmed, Registered Environmental Health Specialist <br />ID: NK0083566 <br />TIME <br />READING <br />WATER <br />DROP <br />REFILLEp <br />Parcel: <br />Diameter. <br />L, <br />- i <br />_ <br />Dn a the ;; in <br />_ <br />a:ba s -r <br />9:a 4.01-0.94 —. <br />a.57 AS S•Sf <br />e.Lr T <br />09 S.VT -O• Gf <br />im 0 �& -'19C6 <br />orb <br />i <br />F'tKGOLATION RATE: )L5% min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: <br />Date <br />Phone?-G��"3d/ff —�— <br />Date <br />„s <br />�,__ <br />PERC TEST RATE FORM <br />Naseem Ahmed, Registered Environmental Health Specialist <br />ID: NK0083566 <br />TIME <br />READING <br />WATER <br />DROP <br />REFILLEp <br />F'tKGOLATION RATE: )L5% min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: <br />Date <br />Phone?-G��"3d/ff —�— <br />Date <br />„s <br />�,__ <br />PERC TEST RATE FORM <br />Naseem Ahmed, Registered Environmental Health Specialist <br />ID: NK0083566 <br />
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