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SR0084313
Environmental Health - Public
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HOLLY
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084313
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Entry Properties
Last modified
10/11/2022 10:07:57 AM
Creation date
5/25/2022 12:35:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084313
PE
4222
STREET_NUMBER
20500
Direction
S
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
21216020
ENTERED_DATE
10/6/2021 12:00:00 AM
SITE_LOCATION
20500 S HOLLY DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SAN JOAQUIN COUNTY <br /> a•�t •. <br /> Z` r " ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: -_ 'L C,1LC) H00� k/r. CITY: TrCLL T �� <br /> OWNER NAME: -'c V1 S C hnr %GIfE r DATE: P1, I <br /> APN: Z 12 �1d' 7 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE:_`7C11�1�\v` OCA.•�t <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> — i <br /> I <br /> i <br /> i i f I I I i I <br /> �_. _ _ - _ _ - - <br /> _ _ <br /> 1 1 1 1 i t__ 1 I i L 1 1 r <br /> - I <br /> 14- <br /> 1 1 <br /> 1 11 <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 P <br /> Parcel: Diameter. 3.5 in I Depth:S .5 in Parcel: Diameter: 5.5 in I De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> S3a�An-9alo* 3y;h L IV, 32;n S*60- _ 36vi Z.;-1 54iLl <br /> F3vAu1-01,WA 0.5cM 3LA;h 8 45AM-4:15 35iv% %in IyA;ti <br /> 0V.10AK-4:40 34.5;a p.6ih ZLA 4•,t5JAN-14: 35ch l¢n S10.) <br /> 4:4oAM Io:1vAM 3+i•5;., oin sLGi ••45AAA-%O:15 35;,n t.5• 3'5,5;', <br /> 10:1CA%-10:N0 35.51M 0.5m 35 in VASAA1- 10: b_84hys 1.Str1 33ih -_ <br /> 10 40ft-q: 34i>, O ivi Nth 0:4kSAM-11:1 3y.51_" I.S;ti 35iV1 <br /> %-%&ft-tj-.4vM 33.5m 0.Sm 33 ih ILIASAM- 11:4W3yih sin 3.1o.) <br /> w.L0Y1-%V3I M1 33.5;h 0.5;,, 33;h 1,%,. -it-,Lgo 3rb.si ilL51h 31;x, <br /> PERCOLATION RATE: min/in PERCOLATION RATE:— 7-0. -minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: E*Igr\uc` Vfo0.ktAQc Phone: LA'LOSIG-IALO_ Date t0ht t,� <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): U,\Ar 11 `k"!t\Ina:5 Phone L?0r! C IG -?(1["t Date 10 I' 7- <br /> 1 <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />
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