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SR0084725_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FOREST LAKE
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2600 - Land Use Program
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SR0084725_SSNL
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Last modified
2/10/2022 9:25:54 AM
Creation date
2/9/2022 10:52:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084725
PE
2602
STREET_NUMBER
3067
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00537002
ENTERED_DATE
1/13/2022 12:00:00 AM
SITE_LOCATION
3067 E FOREST LAKE RD
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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SAN <br />?p AgUlAg .,c® 1 9 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138Web: .sjgov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 7 CITY: x <br />OWNER NAME: , DATE: k .7 ` <br />APN: �[ ._ t. APPLICATION DEPTH TO FIRST WATER: 0 Ft <br />soil TYPE: C7 i 11 <br />Parcel:Test Hole # 1 <br />Diameter: i <br />PERCOLATION <br />. • RATE: <br />RECOMMENDED SEPTIC AREA: <br />OBSERVED BY •moi <br />. 0 REV 11/2/09 <br />____ Test ole _ <br />Parcel: Diameter: in j De the ---- in <br />_TIME READING WATER DROP REFILLED <br />-- —_ - -- <br />----.-- - ------ it ---- ----�---- <br />I <br />PERCOLATION TE: min/in <br />RECOMMENDED EPTIO <br />Phone:- 5 Date <br />Phone: Date <br />Phone Date <br />FERC TEST RATE FORM <br />
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