My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0084632
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
M
>
MOORE
>
16133
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0084632
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/27/2022 8:50:02 AM
Creation date
1/27/2022 8:18:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084632
PE
4222
STREET_NUMBER
16133
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02702016
ENTERED_DATE
12/20/2021 12:00:00 AM
SITE_LOCATION
16133 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Site Address: 16133 Moore Rd, Lodi CA 95242 <br />Date: 12/27/2021 <br />PHOTO # 2 Percolation test. <br />Wt. <br />`9-tiFogY. <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: I V1 32� _CITY: <br />OWNER NAME: K✓(,>ILCL, I') -Ir 'z Int{hl rrn _DATE: 1a at 'A% <br />APN: od'a -- (1a q - 1 to APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />ES <br />l <br />!f11—11fi'—III I1��I(�—I —i� is <br />L_,III lull I <br />Soil T e De lh Depth Depth Soire_ Depth Soil T Depth <br />Test Hole # 1 <br />Parcpl: Diameter: ; in Depth: q,,.0, in <br />r <br />TIME READING WATER DROP <br />_. REiILLEO_ __ <br />PERCOLATION RATE: SY, <br />minlin <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: —Iq ` (VI r <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHO 42-03 REV 1112)09 , <br />Francisco Garcia Ruiz, Environmental Health Specialist Trainee <br />Test Hole # 2 <br />Parcel: Diameter: in DepIh M <br />PERCOLATION RATE: _minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone:°, - 1 I u Date = <br />Phone: Date <br />Phone 1'x1 414 '3c11 Date IL_� <br />PERC TEST RATE FORM <br />Record ID: SR0084632 <br />Page 2 of 2 <br />
The URL can be used to link to this page
Your browser does not support the video tag.