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SR0083665
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083665
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Last modified
6/15/2021 3:19:54 PM
Creation date
6/15/2021 2:20:29 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083665
PE
4222
FACILITY_NAME
1480 WHITE LN
STREET_NUMBER
1480
STREET_NAME
WHITE
STREET_TYPE
LN
City
STOCKTON
Zip
95215
APN
10128001
ENTERED_DATE
5/5/2021 12:00:00 AM
SITE_LOCATION
1480 WHITE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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Address: 1480 White Lane, Stockton <br />ID: SR0083665 <br />!. ;77"t� <br />OUNTY <br />ENVIRON ENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />_ PERCOLATION TEST RATE <br />ADDRESS OR C G r S/- / L <br />R LOCATION: , G� - • " .� � CIT•• G W /-.' Ot7 <br />OWNER NAME: n : . <br />DATE: S : 8 '� 1 <br />APN: APPLICATION r: N ,� Ft <br />DEPTH TO FIRST WATER: <br />SOIL TYPE: 5.. „ IA Y S, t l s / T y <br />REMARKS: <br />Test Hole # 1 Test Hole # 2 <br />Parcel: Diameter: in De the n ParceP Diameter in I Depth: i <br />PERCOLATION RATE. ! Z minlin <br />�O <br />RECOMMENDED SEPTIC AREA: <br />_—r PERFORMED BY: <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone. Date <br />Naseem Ahmed, Registered Environmental Health Specialist <br />430 <br />2y <br />00 <br />g.. 11 <br />' i <br />D3q <br />I <br />3 0 <br />2� <br />. Z <br />2 . . <br />Gt9 <br />. <br />3. d� <br />Z <br />i U <br />Z <br />Al <br />PERCOLATION RATE. ! Z minlin <br />�O <br />RECOMMENDED SEPTIC AREA: <br />_—r PERFORMED BY: <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone. Date <br />Naseem Ahmed, Registered Environmental Health Specialist <br />
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