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SR0087427_SSNL
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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5645
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2600 - Land Use Program
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SR0087427_SSNL
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Entry Properties
Last modified
11/19/2024 3:46:21 PM
Creation date
11/29/2023 9:05:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0087427
PE
2602
STREET_NUMBER
5645
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05516021
ENTERED_DATE
11/14/2023 12:00:00 AM
SITE_LOCATION
5645 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Site Address: 5484 W. HIGHWAY 12 Record ID SR0080105 <br /> Date: 1/29/2019 <br /> Telephone:(209)469-34,211 Fax:f209)4Ii4.01:38 Web:www-5}9DV.or91ena � <br /> PERCOLATION TEST RATE <br /> �y.1, �- <br /> A69RE55ORLOCAT10W � 1� W� ? C{TY; '74 <br /> OWNER NAME: ti 1 <t, - DATE:jLLI'1 V�s�L� L <br /> IP t7— APPLICATION A= <br /> OEPTF{TU FIRST WATER: fS <br /> SOIL TYPE. <br /> ACMARICS: <br /> LOCATION OF TEST HALES 1511 OW WELLS AND 5TRUCTURESk <br /> L <br /> •1�1 1 �, �s—ice'+t" <br /> rj <br /> . <br /> -7 TL7 <br /> Wd <br /> I <br /> SOIL PROFILE IIF REQu{RED) <br /> n <br /> 5611 Tye Da 111 Soil Type Ile th SCrI-- I Type pepth ull TyFe Depth Soil T e <br /> Test Moia#1 E� Test Hole#2 <br /> Parcel: Diameter 4- n De lh Irl PFrcel. Diameter Irl Del the <br /> T•.•..: REAEME Wrl Fn`•'r•-r ?i• i l.[ 1�+. :iCnr,n,r: ;;1•iL;C'•. I•Eri L <br /> Yk14 L I ��h '_I <br /> L i '"T. 1 { <br /> VU <br /> I I <br /> a PERCOLATION RATE: minikn PERCOLATION RATE: minlin <br /> $ RECOMMENDED SEPTIC A RECOMMENDED SEPTIC AREA: <br /> a TEST PERFORMED BY IC •{—VQC'] PhOne>✓ 21- q-i--SICWale <br /> 3 TEST CERTIFIED BY --- Phcne7 Date <br /> 09SERVED By(REHS}' lr Phone?e-9? h �¢S+ Date y zY ! <br /> eyln 42-03 REV]DTM9 PLRC TEST R,,FQ M <br /> • Naseem Ahmed, Environmental Health Specialist Page 1 of 1 <br />
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