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600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax-12091 4C,%_ <br /> 'xreQA,,?�w �T;B Web:wwwsl9ov.0r9rzhd <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: �x T I�• - �I <br /> OWNER NAME: 4I_/;;1��^. � CITY - <br /> DATE- <br /> APN: _.l,)_ T �7- - <br /> SOIL TYPE APPLICATION N: '.F-I-_ -,'j�-+ <br /> DEPTH To FIRST WATER: _FI <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> ri3 <br /> RCOLATION TEST SKETCH �+ IJ PERCOLATION TEST SkETC H <br /> 2-IN DIA.PVCPIPE' '.Ir:1�L�.P�4-1!V DIA.501E aUR1NG J-"ULA1" <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T pe <br /> Test Hole#1 Test Hole#2 <br /> Parcel: 14 1 Diameter: q in Depth: z Parcel: Diameter: in Depth: <br /> T " READING War=r,Dnc, REF,i Tum- RI-an yr 4y<,r=a Drr Rc-, <br /> . S <br /> ,i.-� t� 7• �If .70 <br /> I jII C t 7.� <br /> z ,77 iG <br /> z _ 3 ?L�- <br /> l• �c y,3 �, o <br /> PERCOLATION RATE: --__. . ` minlin PERCOLATION RATE: <br /> —_--__--_minlin <br /> RECOMMENDED SEPTIC AREA:_-- RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY:_ __ � — — Phone: _ t—'- —_ Date <br /> TEST CERTIFIED BY _ Phone: Date <br /> OBSERVED BY(RENS):-- <br /> PhoneDate <br /> Lr an 42-03 REV 1 vzros -------- <br /> PCRC TEST RAI E PORM <br /> Naseem Ahmed, Environmental Health Specialist <br />