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Site Address: 12080 E. ACAMPO RD Record ID SR0080419 <br /> Date: 4/5/2019 <br /> _ v�rnn I rvltrvi <br /> _ w <br /> 1'868-E'ast Hazelton Avenue,Stockton,CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.orglehd <br /> .tt. pr:P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /,�fl ,[ <br /> OWNER NAME: '•e_ <br /> DATE: <br /> SOIL TYPE: -.i — -/[-1GIC z DEPTH TO FIRST WATER: ... <br /> FI <br /> 801E S� �r S J' <br /> REMARKS: <br /> LOCATION OF TEST HOLE TRucruREs1 <br /> rr.l <br /> T1 <br /> i i`I IT- <br /> rr <br /> 1 <br /> i-T 1 1 I I <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T e De th Soil T pe Depth Soil Type De th Soil Type Depth Soil T e <br /> Test Hole#1 B 3 Test Hole#2 <br /> Parcel: Diameter: in De the _ Parcel: Diameter: in De the in <br /> L TIME READING WATER DROP REFILLED TIME _ -READING WATER DROP _REFILLED_ <br /> 0 oz — <br /> fi O. cs-a - <br /> /O .o 0 0 — <br /> /U <br /> y 0 o a-• i <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA; RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: �l�Ille-sn Gto?m/c Phonecc_,?_ )ata 9-95 (✓ Date <br /> ST CERTIFIED BY: Phone: Date <br /> SERVED BY(RENS): el Ah(/ Phone 4%L,0—(91,-1 Date <br /> -03 REV 1I/2109 PERC TEST RATE FORM <br /> Naseem Ahmed, Registered Environmental Health Specialist Page 1 of 1 <br />