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w' <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (2091) 464-0138 Web: www sigov orglehd <br />PERCOLATION TEST RATE <br />- <br />ADDRESS OR LOCATION: 7 -o - I93, ^J. .I.i — P�r>� CITY: L-,:, (: 4e-- t: <br />OWNERNAME:A_LjCC L_r_0/QAvZ0 PC; -TE 1�—> S r� rj DATE <br />APN: C:;- I - ?- ( 0 - -1 1 t 2 - APPLICATION #: DEPTH TO FIRST WATER <br />SOIL TYPE <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />PERCOLATION "GEST SKETCH PERCOLATION TEST SKETCH <br />2-[.\DL,%L. PVC PIPE <br />-IN DUV PVC PIPE, <br />4- 1\ 01A. SOIL BORING 4- IN DIA. SOIL BORr\G <br />T -1 � t. � ��- � T rlF T� � <br />)4TION RATE: 1111111 all <br />IENDED SEPTIC <br />�'RFORMEDBY: <br />7- <br />-ERTIFIED BY: __ __ <br />,VED BY (RENS):.__ -IAA4MG <br />031 LV lV2109 <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone. Date <br />Phone: Date <br />Phone Date <br />NL KC I I 'I) i CA 1 t l vitt". <br />—REHLL[D <br />-7 <br />/01 <br />_3 <br />-6, `7C <br />3"10 <br />3. T, <br />73 <br />3, -7 <br />o <br />' <br />3, <br />01) <br />� <br />)4TION RATE: 1111111 all <br />IENDED SEPTIC <br />�'RFORMEDBY: <br />7- <br />-ERTIFIED BY: __ __ <br />,VED BY (RENS):.__ -IAA4MG <br />031 LV lV2109 <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone. Date <br />Phone: Date <br />Phone Date <br />NL KC I I 'I) i CA 1 t l vitt". <br />