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n <br /> M. O (D D <br /> —„ .o Iv <br /> Ln LM <br /> `.,� 1868 East Hazelton Avenue,Stockton,CA M No <br /> a <br /> Teleg�' c oo re:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd n F- Ln <br /> nr"I <br /> < PERCOLATION TEST RATE rt Lu <br /> o <br /> O ADDRESS OR LOCATION: ���7J 1J`��DB�•VirY:• 2Ll CITY: L.v i O <br /> =3OWNERNAME: �M/QI DATE: � O 0- <br /> (D APN: <br /> ON p: - DEPTH TO FIRST WATER: f¢ rp <br /> 7 <br /> SOIL TYPE. (A OL <br /> Gq <br /> = REMARKS _-_ M n) <br /> CD <br /> d Q <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) O <br /> iz <br /> rD <br /> - -_ --I <br /> _. <br /> rr i � j •--r i i f <br /> W-1 <br /> Lq-' <br /> -� - <br /> - - II : mil <br /> iLL <br /> T] IT 1TTiii ; EI �� 1 � j71-11—� F- <br /> I I I I ,_1 17-1 I I <br /> � � —. 1—[ ? Tri <br /> ' ' IIS r I I i1 -Iii 1 1Ii � <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 _ _ Test Hole#2 <br /> Parcel Diameter: in De the in Parcel i Diameter in I Depth: in <br /> TIME READING WATERDROP L REFILLED TIME READING WATER DROP REFILLED <br /> � <br /> 7r� ? - - - --_ —---- <br /> SO - 2 <br /> J! O&i <br /> 30 3.'- o7 - <br /> ov 3 z s --` <br /> 11.70 2 -I — <br /> PERCOLATION RATE: 27. 7 mintin PERCOLATION RATE: mintiin <br /> RECOMMENDED SEPTIC AREA: RECOMM,ENDfD SEPTIC AREA: <br /> TEST PERFORMED BY: N 11 I�r 7 ` Phone: U� ;I l Date <br /> TEST CERTIFIED BY: L-% <br /> � Phone: Date _ <br /> OBSERVED BY(RENS): r k#X�L� Yl �.? Phone Date - i -IT <br /> EHD 42-03 REV 1112109 PERC TEST RATE FOR <br /> (D <br /> n <br /> O <br /> 0 <br /> O <br /> Do <br /> OO <br /> h 1Jq <br /> N 00 <br /> 0 <br />