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Site Address: 19401 S. DAHLIN AVE <br /> Date: 2/22/2019 <br /> Qom, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> R00 East Main Street.Stockton.CA 95202-3029 <br /> Let raelepte:)'2091 468-3320 Fax:12091464-0 1 38 Web:www.sl9ov.orgle hd <br /> .. PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 114CI t D,1 44 L/til .A CITY: V1,-'Lc'i <br /> OWNERN"E' F`C 15A�rip�c DATE: <br /> APN: Z--?-/ -ir-F r -3J APPLICATIONR: DEPTH TO FIRST WATER Ft <br /> SOIL TYPE <br /> REMARKS: <br /> - LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> " RC )I 911ON T t ST SKI-:TC11 PERCOLATION I LS 151:1:1 11 <br /> 74 q <br /> GITiLI lllacln'—s.L .. _ !Itla'ILI.IIFI:R rI '..L <br /> Iii ! il it ! III Illj jl 11 <br /> 7 <br /> SOIL PROFILE IF REOUIR ED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#Test Hole,#1� Test Hole#2 <br /> Parcel�Parcel�Dlarnetec�I', =Depth=1 : IDepth a : f Parcel j Diameter: <br /> I in Depth �Cc <br /> Tw- RE4L9G <br /> WIT=.:F)F,l r?" -iu- 1;1 <br /> 1 ; <br /> PERCOLATION RATE:_L_. �— — minlin PERCOLATION RATE-. <br /> RECOMMENDED SEPTIC AREA: _ -------min/in <br /> -----_ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY; Phone: J,', t ------- <br /> TEST CERTIFIED BY: -------- ---Phone: Date <br /> — ------- Date <br /> OBSERVED BY(RENS):__— —_ Phone — ---'--- —--- <br /> f IU 42-93 RLV 1112l99 Date <br /> ----------- <br /> PERC ILSI RATL FUt3M <br /> 1 <br /> Naseem Ahmed, Registered Environmental Health Specialist Page 1 of 1 <br />