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SR0085491
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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6015
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4200/4300 - Liquid Waste/Water Well Permits
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SR0085491
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Last modified
11/19/2024 3:48:06 PM
Creation date
8/5/2022 2:06:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0085491
PE
4222
STREET_NUMBER
6015
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
02519015
ENTERED_DATE
7/6/2022 12:00:00 AM
SITE_LOCATION
6015 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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a.� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s1gov.org/ehd <br />/ PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 6015 .S ja C RD Uie 12 CITY: I-0(-11 (I 5 2 + <br />OWNER NAME: DATE: Ft <br />APN: 0251 015 APPLICATION #: DEPTH TO FIRST WATER: <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND <br />t -t--' ---r--F-+ r <br />I <br />, <br />SOIL PROFILE (IF REQUIRED <br />Depth Soil Type De th Soil Type.. Depth Soil Type D <br />Test Hole # 1 <br />Diameter: Det <br />inParcel: <br />TIME READING WATER DROP <br />REFILLED <br />n` <br />rt 11 <br />1 --- 2-1-5 01- <br />11:45 —10-50 <br />2a! -I- <br />-2, <br />-2 <br />-3�1T- <br />JITL <br />_ <br />IL --- • 5 <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: _— <br />OBSERVED BY (RENS): - <br />EFiD 42.03 REV 1112/09 5,q6 <br />Soil Type I D <br />Soil <br />Test Hole # 2 1 <br />Parcel: T Diameter: � in De the — in <br />PERCOLATION RAIL: Ino mink <br />RECOMMENDED SEPTIC AREA: <br />Phone: _ Date <br />Phone: y� Date _ <br />Phone �-���, ` Date <br />PERC TEST RATE RI <br />
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